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In Person Training/Computer-Based Training
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0990-0379
IC ID: 202197
OMB.report
HHS/HHSDM
OMB 0990-0379
ICR 201106-0990-001
IC 202197
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:
2024-07-08 - No material or nonsubstantive change to a currently approved collection
2024-02-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
SAG Customer Satisfaction Survey In Person.docx
Other-Survey
SAG Customer Satisfaction Survey CBT.docx
Other-Survey
Survey Cover Letter to In-Person Participants.docx
Survey Cover Letter to In-Person Participants
IC Document
0990-0379_Clearance Submission - SAG.docx
0990-0379_Clearance Submission - SAG
IC Document
Survey_Cover_Letter_to_CBT_Participants.docx
Survey Cover Letter to CBT Participants
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
In Person Training/Computer-Based Training
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
Other-Survey
SAG Customer Satisfaction Survey In Person.docx
Yes
No
Fillable Printable
Other-Survey
SAG Customer Satisfaction Survey CBT.docx
Yes
No
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:
330
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
330
0
0
0
0
0
Annual IC Time Burden (Hours)
28
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Survey Cover Letter to In-Person Participants
Survey Cover Letter to In-Person Participants.docx
05/04/2012
0990-0379_Clearance Submission - SAG
0990-0379_Clearance Submission - SAG.docx
05/09/2012
Survey Cover Letter to CBT Participants
Survey_Cover_Letter_to_CBT_Participants.docx
05/10/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.