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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Public Health Improvement Trainings (PHIT) Assessment
Agency IC Tracking Number:
15CM
IC Status:
New
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
Web instrument
H_Instrument Web Version.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
165
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
165
0
165
0
0
0
Annual IC Time Burden (Hours)
28
0
28
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Part A
KHY1-PHIT-SSA.docx
12/10/2014
Supporting Statement Part B
KHY1-PHIT-SSB.docx
12/10/2014
Training Analysis
A_Training Analysis 2003-2014.pdf
12/10/2014
Leveraging
B_Leveraging the Revised National Public Health Performance Standards.pdf
12/10/2014
PHIT Agenda
C_PHIT 2014 Agenda.pdf
12/10/2014
PHIT Assessment Report
E_PHIT 2014 Assessment Report.docx
12/10/2014
Executive Summary
F_Executive Summary.docx
12/10/2014
Instrument Word Version
G_Instrument MS Word Version.docx
12/10/2014
Notification Email
I_Notification Email.docx
12/10/2014
Reminder Email
J_Reminder Email.docx
12/10/2014
Training Assessment 2014
D_PHIT Assessment Form.docx
12/10/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.