View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	ATSDR Public Health Assessment Basic Course Modernization Focus Group	Agency IC Tracking Number:	0920-22CP

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
Other- Facilitators Guide			AttB Facilitators Guide - ATSDR PHA BC FG.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: 28	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	28	0	28	0	0	0
Annual IC Time Burden (Hours)	56	0	56	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Request For Approval	0920-1050 GenIC ATSDR_PHA_Basic_Course_FG_ Approval Form_clean2.pdf	02/14/2022
AttA Recruitment Letter - ATSDR PHA BC FG	AttA Recruitment Letter - ATSDR PHA BC FG.docx	02/14/2022

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