Class Participation Form

Form Approved

OMB No. 0920-0621

Expiration Date: xx/xx/xx

Att O. Class Participation Form

Public reporting burden for this collection of information is estimated to average 15 minutes per survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC Reports Clearance Officer, 1600 Clifton Road, NE, MS H21-8, Atlanta, GA 30329, ATTN: PRA (0920-0621).