Information Collection

Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form

IC 272517 under ICR 202409-0920-009 · OMB 0920-1071.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1071 Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Registration Form Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction
Form 0920-1071 Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Evaluation Survey Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction
Form 0920-1071 CDC Course Evaluation Form Addendum Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction
0920-1071 Infection Prevention (IP) Excellence: Comprehensive Trai Att C_Registration Form_11.18.24.docx	Form and Instruction
0920-1071 Infection Prevention (IP) Excellence: Comprehensive Trai Att B_IP Excellence Post Evaluation Survey_11.18.24.docx	Form and Instruction
0920-1071 CDC Course Evaluation Form Addendum Att A- CDC Course Evaluation Form Addendum_11.18.24.docx	Form and Instruction
Human Subjects Determination.pdf Research Determination	IC Document
Service Delivery Fast Track_IP Excellence Training_11.18.24.docx GenIC Request Memo 0920-1071	IC Document

IC Title:

Agency IC Tracking Number:

0920-1071-25BM

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1071	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1071	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1071	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	292	292
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Research Determination		11/21/2024
GenIC Request Memo 0920-1071		11/21/2024

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

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