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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Survey on CDC NCEH Disaster-Related Death Certification Trainings
Agency IC Tracking Number:
0923-21IP
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 and Instruction
0923-21IP
Attachment 2_Death Certification Online Survey
Attachment 2_Death Certification Online Survey.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0923-21IP
Attachment 2a_Death Certification Word Survey
Attachment 2a_Death Certification Word Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
800
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
800
0
800
0
0
0
Annual IC Time Burden (Hours)
400
0
400
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
ATSDR 0923-0047 TmpltApprvlFrm_Death Certification TtT Prgrm.docx
10/06/2021
Attachment 1_Death Certification Training Evaluation Emails
Attachment 1_Death Certification Training Evaluation Emails.docx
10/06/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.