Information Collection

The Training Program Comparison Group Screener

IC 262091 under ICR 202401-0906-002 · OMB 0906-0080.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 The Training Program Comparison Group Screener	Form and Instruction
1 Healthcare Workforce Screener and Survey_6.5.23_clean 1. Healthcare Workforce Screener and Survey_6.5.23_clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Healthcare Workforce Screener and Survey_6.5.23_clean	1. Healthcare Workforce Screener and Survey_6.5.23_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180,000

Number of Respondents for Small Entity: 46,800

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180,000	180,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.