Information Collection

TeamSTEPPS 2.0 Online Post-Training Survey

IC 213196 under ICR 201409-0935-008 · OMB 0935-0224.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0224 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 TeamSTEPPS 2.0 Online Post-Training Survey	Form and Instruction
1 Attachment A Post Training Survey Attachment A_Post_Training_Survey_v2.docx	Form and Instruction

IC Title:

TeamSTEPPS 2.0 Online Post-Training Survey

Agency IC Tracking Number:

Is this a Common Form? No

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	1	Attachment A Post Training Survey	Attachment A_Post_Training_Survey_v2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	3,000	3,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.