RPMS Annual Training Needs Assessment

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0917-0036 can be found here:

Documents and Forms

Document Name Document Type
Form 0917-0036-23 RPMS Annual Training Needs Assessment Form and Instruction
0917-0036-23 OMB No. 0917-0036-23, IHS RPMS Annual Training Needs Ass OMB 0917-0023 IHS RPMS Annual_Training_Needs_Assessment.pdf Form and Instruction
OMB 0917-0036-23, Mini - Supporting Statement for IHS RPMS Annual Training Needs Assessment.doc OMB No. 0917-0036-23, Mini-Supporting Statement for IHS RPMS Annual Training Needs Assessment IC Document

Information Collection (IC) Details

IC Title:	RPMS Annual Training Needs Assessment	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
Form and Instruction	0917-0036-23	OMB No. 0917-0036-23, IHS RPMS Annual Training Needs Assessment	OMB 0917-0023 IHS RPMS Annual_Training_Needs_Assessment.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 550	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	550	550
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB No. 0917-0036-23, Mini-Supporting Statement for IHS RPMS Annual Training Needs Assessment	OMB 0917-0036-23, Mini - Supporting Statement for IHS RPMS Annual Training Needs Assessment.doc	06/26/2013

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