Information Collection Request

[PHIC] Application for Training

ICR 202508-0920-005 · OMB 0920-0017 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CE Proposal Form Modified Available
Continuing Education Proposal Form Modified Missing upstream
CDC TRAIN Follow-Up Evaluation Tool Form and Instruction Modified Available
CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction Modified Repair queued
CDC TRAIN Post-Course Evaluation Tool Form and Instruction Modified Available
CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction Modified Missing upstream
TCEO Follow-up Evaluation Form Removed Available
TCEO Follow-up Evaluation Form Removed Missing upstream
TCEO Post-course Evaluation Form Removed Available
TCEO Post-Course Evaluation Form Removed Repair queued
TCEO New Participant Registration Form Removed Available
TCEO New Participant Registration Form Removed Repair queued
Att10_EvalReminders.docx Supplementary Document Uploaded 2025-08-19 Available
Att10_EvalReminders.docx Supplementary Document Uploaded 2025-08-19 Repair queued
Att9_RevisionDetails.docx Supplementary Document Uploaded 2025-08-19 Available
Att9_RevisionDetails.docx Supplementary Document Uploaded 2025-08-19 Repair queued
Att8_0920-0017_NonRsch_determ.pdf Supplementary Document Uploaded 2025-08-19 Available
Att8_0920-0017_NonRsch_determ.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
Att7_CDCT_AA.pdf Supplementary Document Uploaded 2025-08-19 Available
Att7_CDCT_AA.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
Att6_PIA_SORN.pdf Supplementary Document Uploaded 2025-08-19 Available
Att6_PIA_SORN.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
Att2_0920-0017_60dFRN.pdf Supplementary Document Uploaded 2025-08-19 Available
Att2_0920-0017_60dFRN.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
Att1C_S243_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Available
Att1C_S243_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Missing upstream
Att1B_S295K_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Available
Att1B_S295K_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
Att1A_S295_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Available
Att1A_S295_PHSA.pdf Supplementary Document Uploaded 2025-08-19 Repair queued
0920-0017_SSB_07312025.docx Supporting Statement B Uploaded 2025-08-19 Available
0920-0017_SSB_07312025.docx Supporting Statement B Uploaded 2025-08-19 Repair queued
0920-0017_SSA_07312025_final.docx Supporting Statement A Uploaded 2025-08-19 Available
0920-0017_SSA_07312025_final.docx Supporting Statement A Uploaded 2025-08-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37715 Continuing Education Proposal Form ModifiedCE Proposal
37715 Continuing Education Proposal Form Modified
250802 CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction ModifiedCDC TRAIN Follow-Up Evaluation Tool
250802 CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction Modified
250801 CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction ModifiedCDC TRAIN Post-Course Evaluation Tool
250801 CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction Modified
235024 TCEO Follow-up Evaluation Form RemovedTCEO Follow-up Evaluation
235024 TCEO Follow-up Evaluation Form Removed
235021 TCEO Post-Course Evaluation Form RemovedTCEO Post-course Evaluation
235021 TCEO Post-Course Evaluation Form Removed
191980 TCEO New Participant Registration Form RemovedTCEO New Participant Registration
191980 TCEO New Participant Registration Form Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 11/30/2025
540,130 0 2,280,130
127,650 0 288,150
0 0 14,026,955





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CDC TRAIN Delayed Follow-up Evaluation Tool n/a
CDC TRAIN Immediate Post-Course Evaluation Tool n/a
Continuing Education Proposal none
TCEO Follow-up Evaluation none
TCEO New Participant Registration none
TCEO Post-Course Evaluation none

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 540,130 2,280,130 0 -450,000 -1,290,000 0
Annual Time Burden (Hours) 127,650 288,150 0 19,000 -179,500 0
Annual Cost Burden (Dollars) 0 14,026,955 0 -5,281,715 -8,745,240 0


Reginfo record details
  No