CDC Work@Health Train-the-Trainer Participant Survey

CDC Work@Health Program: Phase 2 Training and Technical Assistance Evaluation

OMB: 0920-1006

IC ID: 209590

Information Collection (IC) Details

View Information Collection (IC)

CDC Work@Health Train-the-Trainer Participant Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att G-3_Work@HealthTrain-the-Trainer Participant Survey.docx Yes Yes Fillable Printable

Health Immunization Management

0920-0136 Epidemiologic Studies and Survelliance of DIsease Problems  57 FR 62812

120 0
   
State, Local, and Tribal Governments
 
   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 120 0 60 0 0 60
Annual IC Time Burden (Hours) 40 0 20 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att G-4_ ScrShots of Train-the-Trainer Participant Survey Att G-4_ ScrShots of Train-the-Trainer Participant Survey.docx 12/02/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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