Information Collection

IHS Continuing Education Attestation - Final

IC 283512 under ICR 202611-0917-002 · OMB 0917-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0917-0009 IHS Continuing Education Attestation - Final IHS Continuing Education Attestation - Final	Form and Instruction
0917-0009 IHS Continuing Education Attestation - Final IHS Continuing Education Attestation - Final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0917-0009

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 450

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	0917-0009				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: IHS Continuing Education Attestation - Final

FR Citation: 88 FR 33151

Number of Respondents: 50

Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	4	4
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.

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