Information Collection

Continuing Education Proposal

IC 37715 under ICR 202508-0920-005 · OMB 0920-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Continuing Education Proposal	Form
CE Proposal Continuing Education Proposal	Form
CE Proposal Att3_CE Proposal.docx	Form
CE Proposal Att3_CE Proposal.docx	Form

IC Title:

Agency IC Tracking Number:

0920-0017

Is this a Common Form? No

IC Status: Modified

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	none				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: 09-20-0161 Records of Health Professionals in Disease Prevention and Control Training Programs

FR Citation: 51 FR 42449

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	130	0	130
Annual IC Time Burden (Hours)	650	0	650
Annual IC Cost Burden (Dollars)	0	-19,955	19,955

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.

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