Information Collection

Promotores (training pre-test, post-test, and qualitative in-depth interview post client session)

IC 208913 under ICR 201311-0925-003 · OMB 0925-0688.

Documents and Forms

Document Name Document Type
Form 1 Promotores (training pre-test, post-test, and qualitative in-depth interview post client session) Form and Instruction
1 Training pre-test post-test Attachment 1 Promotores Training Pre-test and Post-test Survey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Promotores (training pre-test, post-test, and qualitative in-depth interview post client session)	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 and Instruction	1	Training pre-test post-test	Attachment 1 Promotores Training Pre-test and Post-test Survey.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	1	1
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.