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Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa: Training Toolkit_Registration and Evaluation

IC 214582 under ICR 201407-0920-001 · OMB 0920-1026.

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Form
Form
IC Document
IC Document
IC Document
IC Document
IC Document
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Information Collection (IC) Details

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Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa: Training Toolkit_Registration and Evaluation 15IX
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Registration Attachment A_Preparing HCW to Work in ETUs in Africa Training Toolkit_Registration Questionnaire.pdf Yes Yes Fillable Fileable
Form none Evaluation Attachment B_Preparing HCW to Work in ETUs in Africa Training Toolkit_Evaluation Survey.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,300 0
   
Individuals or Households
 
   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 1,300 0 1,300 0 0 0
Annual IC Time Burden (Hours) 370 0 370 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Reminder Email for Incomplete Registration Attachment C_Reminder Email_Incomplete Registration.docx 01/12/2015
Registration Complete Email Attachment D_Registration Complete_Thank You Email.docx 01/12/2015
Toolkit Availability Email Notification Attachment E_Toolkit Availability Email Notification.docx 01/12/2015
Evaluation Email Invitation Attachment F_Invitation Email for Evaluation Survey.docx 01/12/2015
Reminder Email Imcomplete Evaluation Attachment G_Reminder Email_Incomplete Evaluation Survey.docx 01/12/2015
Request for Approval GenIC 0920-1026_CDC Ebola ETU Toolkit_Registration and Evaluation Surveys_Final.docx 01/12/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.