Program of Assistance for University-Based Training

Section 3016 Information Technology Professionals in Health Care: Program of Assistance for University-Based Training

Documents and Forms

Document Name Document Type
Form 1 Program of Assistance for University-Based Training Form and Instruction
1 Program of Assistance for University-Based Training Appl ONC 3016 PRA Application for University-Based Training FOA v2- IC.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Program of Assistance for University-Based Training	Agency IC Tracking Number:

Is this a Common Form?		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	1	Program of Assistance for University-Based Training Application Form	ONC 3016 PRA Application for University-Based Training FOA v2- IC.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	11,010	11,010
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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