Information Collection

LRN Biennial Requalification

IC 192291 under ICR 201303-0920-002 · OMB 0920-0850.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0850 can be found here:

Documents and Forms

Document Name Document Type
Attachment 3e- Screen shots of Biennial Requalification through LRN websi....docx Other-Screenshots
Attachment 3a LRN Biennial Requalification data elements.doc Data Elements IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	LRN Biennial Requalification	Agency IC Tracking Number:

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
Other-Screenshots			Attachment 3e- Screen shots of Biennial Requalification through LRN websi....docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	50	100
Annual IC Time Burden (Hours)	300	100	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Data Elements	Attachment 3a LRN Biennial Requalification data elements.doc	02/28/2013

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