Information Collection

Follow-Up Ebola Treatment Unit (ETU) Training Course Evaluation

IC 214491 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

15KC

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	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.