Information Collection

Application for Training

IC 6685 under ICR 201604-0920-003 · OMB 0920-0217.

Documents and Forms

Document Name Document Type
Application for Training Form
NCH Vital Statistics Training Application Attachment C 040516 clean.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Training	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
Form	none	NCH Vital Statistics Training Application	Attachment C 040516 clean.doc		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0163 Applicants for NCHS Technical Assistance	FR Citation: 51 FR 42368

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.