Information Collection

Training Feedback Form Follow-up Interviews

IC 209522 under ICR 201311-0930-003 · OMB 0930-0338.

Documents and Forms

Document Name Document Type
Form Training Follow-Up Training Feedback Form Follow-up Interviews Form and Instruction
Training Follow-Up Training Follow-Up Interview NB Attachment B1 Training Follow-Up Interview 7.25.2013.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Training Feedback Form Follow-up Interviews	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	Training Follow-Up Interview	Training Follow-Up Interview	NB Attachment B1 Training Follow-Up Interview 7.25.2013.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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 Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
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.