View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NIEHS PEPH Evaluation Metrics Training Registration	Agency IC Tracking Number:

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	1	registration screenshot	NIEHS PEPH Evaluation Metrics Training Registration Screenshot.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	2	0	2	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for PEPH Metrics Training workshop	0925-0740 template for NIEHS PEPH Evaluation Metrics Training Registration.docx	11/07/2022
email invitation	NIEHS PEPH Evaluation Metrics Training Invitation to Participate 11.2.22 (2).docx	11/07/2022

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