Information Collection

HIVCBA Learning Group Registration 2024 Update Evaluation

IC 242737 under ICR 202407-0920-005 · OMB 0920-1322.

Documents and Forms

Document Name Document Type
Form 0920-1322 HIVCBA Learning Group Registration 2024 Update Evaluation Form
0920-1322 'HIVCBA Learning Group Registration 2024 Update' Evaluat Att 4_Learning Group Registration-Screenshots.docx Form
0920-1322 'HIVCBA Learning Group Registration 2024 Update' Evaluat Att 4_Learning Group Registration-Screenshots.docx Form
0920-1322 Learning Group Registration Form Att 3_Learning Group Registration-Word version.docx Form
0920-1322 Learning Group Registration Form Att 3_Learning Group Registration-Word version.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HIVCBA Learning Group Registration 2024 Update Evaluation	Agency IC Tracking Number:	0920-1322

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-1322	'HIVCBA Learning Group Registration 2024 Update' Evaluation	Att 4_Learning Group Registration-Screenshots.docx		Yes	Yes	Fillable Fileable
Form	0920-1322	Learning Group Registration Form	Att 3_Learning Group Registration-Word version.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Health Professionals in Disease Prevention and Control Training Programs.	FR Citation: 51 FR 42485

Number of Respondents: 3,800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,800	3,800
Annual IC Time Burden (Hours)	317	317
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.