Trainee Reaction Survey- Hands-On Model

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

OMB: 0920-1006

IC ID: 209583

Information Collection (IC) Details

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Trainee Reaction Survey- Hands-On Model
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Trainee Reaction Survey Att F-2_Trainee Reaction Survey Hands-on_12-17-15.doc Yes Yes Fillable Fileable

Health Illness Prevention

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

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 100 0 -50 0 0 150
Annual IC Time Burden (Hours) 25 0 -13 0 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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