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Online Training Survey
Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)
OMB: 0920-0823
IC ID: 188797
OMB.report
HHS/CDC
OMB 0920-0823
ICR 200910-0920-006
IC 188797
( )
Documents and Forms
Document Name
Document Type
Form No number
Online Training Survey
Form
No number Online Training Survey
Attachment E -- Training Survey Questions.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Online Training Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
No number
Online Training Survey
Attachment E -- Training Survey Questions.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
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
400
0
0
0
0
400
Annual IC Time Burden (Hours)
100
0
0
0
0
100
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.