Information Collection

Web-based Ebola Treatment Unit (ETU) Training Course Evaluation

IC 214384 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Web-based Ebola Treatment Unit (ETU) Training Course Evaluation	Form and Instruction
Ebola Treatment Unit (ETU) Training Course Evaluation: D Attachment B Screen shot Day 1 printout.pdf	Form and Instruction
Ebola Treatment Unit (ETU) Training Course Evaluation: D Attachment C Screen shot Day 2 printout.pdf	Form and Instruction
Ebola Treatment Unit (ETU) Training Course Evaluation: D Attachment D Screen shot Day 3 printout.pdf	Form and Instruction
Attachment A CDC ETU Training_notification_slides.pptx CDC Ebola Training Unit Notification	IC Document
Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 1	IC Document
Attachment F Day 2_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 2	IC Document
Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 1	IC Document
Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 1	IC Document
Attachment G Day 3_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 3	IC Document
Attachment G Day 3_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx CDC Ebola Treatment Unit Course Evaluation: Day 3	IC Document
GenIC 0920-1026_Web-based Ebola Treatment Unit (ETU) Training Course Evaluation_REV 22DEC2014.docx Request for GenIC Approval	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Web-based Ebola Treatment Unit (ETU) Training Course Evaluation

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Ebola Treatment Unit (ETU) Training Course Evaluation: Day 2	Attachment C Screen shot Day 2 printout.pdf	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Ebola Treatment Unit (ETU) Training Course Evaluation: Day 1	Attachment B Screen shot Day 1 printout.pdf	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Ebola Treatment Unit (ETU) Training Course Evaluation: Day 3	Attachment D Screen shot Day 3 printout.pdf	None	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	201	201
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CDC Ebola Training Unit Notification	Attachment A CDC ETU Training_notification_slides.pptx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 1	Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 2	Attachment F Day 2_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 1	Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 1	Attachment E Day 1_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 3	Attachment G Day 3_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
CDC Ebola Treatment Unit Course Evaluation: Day 3	Attachment G Day 3_CDC Ebola Treatment Unit (ETU) Training Course Evaluation.docx	12/22/2014
Request for GenIC Approval	GenIC 0920-1026_Web-based Ebola Treatment Unit (ETU) Training Course Evaluation_REV 22DEC2014.docx	12/22/2014

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