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Rural EMS Training Program Monitoring Report
Rural Emergency Medical Services Training (EMS Training)
OMB: 0930-0392
IC ID: 255200
OMB.report
HHS/SAMHSA
OMB 0930-0392
ICR 202208-0930-002
IC 255200
( )
Documents and Forms
Document Name
Document Type
Form Rural EMS Monitori
Rural EMS Training Program Monitoring Report
Form and Instruction
Rural EMS Monitori Rural EMS Monitoring Report
Attachmet 1_Rural EMS Training Program Monitoring Report.docx
Form and Instruction
Rural EMS Monitori Rural EMS Monitoring Report
Attachmet 1_Rural EMS Training Program Monitoring Report.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Rural EMS Training Program Monitoring Report
Agency IC Tracking Number:
Is this a Common Form?
No
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
Rural EMS Monitoring Report
Rural EMS Monitoring Report
Attachmet 1_Rural EMS Training Program Monitoring Report.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Rural EMS Training Program Monitoring Report
FR Citation:
75 FR 28264
Number of Respondents:
27
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
54
0
54
0
0
0
Annual IC Time Burden (Hours)
9
0
9
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.