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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[ATSDR] Environmental Health and Land Reuse (EHLR) Immersion Training Pilots
Agency IC Tracking Number:
0923-23CT
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
None
EHLR Training Registration-Pilots
ATT-A-EHLRT-Pilot RegistFrm (REDCap).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
None
EHLR Immersion Community Engagement Knowledge Assessment
ATT-B-EHLRImm-KnowlAssmt-Pilot (REDCap).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
None
EHLR Immersion Pilot Training Feedback Form
AttC-EHLR-Pilot-FeedbkForm (REDCap).pdf
Yes
Yes
Fillable Fileable
Other-WORD
AttA-EHLR-Pilot-TrainingRegistForm (Word).docx
No
Printable Only
Other-WORD
ATT-B-EHLRImm-KnowlAssmt-Pilot (Word).docx
No
Printable Only
Other-WORD
AttC-EHLR-Pilot-FeedbkForm (Word).docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
CDC/ATSDR Trainee Records (SORN 09-20-0161)
FR Citation:
86 FR 16212
Number of Respondents:
100
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
100
0
100
0
0
0
Annual IC Time Burden (Hours)
47
0
47
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template (Project Description and Justification for EHLR Training Pilots Feedback)
GenIC-EHLR-Immersion-Pilot.docx
02/17/2023
CDC Determination: IRB Approval is Not Required
AttD-STARS Determination-EHLR.pdf
02/17/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.