OMB
.report
Search
Follow-Up Ebola Treatment Unit (ETU) Training Course Evaluation
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCIRD)
OMB: 0920-1026
IC ID: 214491
OMB.report
HHS/CDC
OMB 0920-1026
ICR 201407-0920-001
IC 214491
( )
Documents and Forms
Document Name
Document Type
Follow-Up Ebola Treatment Unit (ETU) Training Course Evaluation
Form and Instruction
Preparing Healthcare Workers to Work in Ebola Treatment
Attachment A_Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa-Follow Up Evaluation.pdf
Form and Instruction
Attachment B_Email Invitation_Follow Up Ebola Treatment Unit (ETU) Training Course Evaluation.docx
Email Invitation to Follow-Up ETU Course Evaluation
IC Document
Attachment C_Reminder Email_Follow Up Ebola Treatment Unit (ETU) Training Course Evaluation.docx
Reminder Email to Follow-Up ETU Course Evaluation
IC Document
GenIC 0920-1026_Follow Up Ebola Treatment Unit (ETU) Training Course Final 1-6-14.docx
Request for Approval under 0920-1026
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Follow-Up Ebola Treatment Unit (ETU) Training Course Evaluation
Agency IC Tracking Number:
15KC
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
None
Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa - Follow-Up Evaluatioin
Attachment A_Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa-Follow Up Evaluation.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:
400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
400
0
400
0
0
0
Annual IC Time Burden (Hours)
67
0
67
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Email Invitation to Follow-Up ETU Course Evaluation
Attachment B_Email Invitation_Follow Up Ebola Treatment Unit (ETU) Training Course Evaluation.docx
01/07/2015
Reminder Email to Follow-Up ETU Course Evaluation
Attachment C_Reminder Email_Follow Up Ebola Treatment Unit (ETU) Training Course Evaluation.docx
01/07/2015
Request for Approval under 0920-1026
GenIC 0920-1026_Follow Up Ebola Treatment Unit (ETU) Training Course Final 1-6-14.docx
01/07/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.