Information Collection

TB Training and Education Needs Assessment of the US-affiliated Pacific Islands and Hawaii

IC 227258 under ICR 201605-0920-001 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TB Training and Education Needs Assessment of the US-affiliated Pacific Islands and Hawaii	Form
TB Survey - word Att1 - USAPI Survey.docx	Form
TB Survey - screenshots Att2 Screenshots_USAPI Needs Assessment Survey_6-23-17.docx	Form
Att3 - USAPI Needs Assessment Invitation Letter.docx Invitation letter	IC Document
PD 6940 USAPI Needs Assessment_Determination Form.pdf Project determination	IC Document
USAPI Assessment_Generic-Clearance Template.docx Request for Approval	IC Document
USAPI Assessment_Checklist for GenIC Clearance.docx genIC Checklist	IC Document
USAPI Needs Assessment Survey_Submission_Summary_6-26-2017.docx Request summary	IC Document

IC Title:

TB Training and Education Needs Assessment of the US-affiliated Pacific Islands and Hawaii

Agency IC Tracking Number:

0920-17AOU

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	none	TB Survey - word	Att1 - USAPI Survey.docx		Yes	Yes	Fillable Fileable
Form	none	TB Survey - screenshots	Att2 Screenshots_USAPI Needs Assessment Survey_6-23-17.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation letter	Att3 - USAPI Needs Assessment Invitation Letter.docx	06/26/2017
Project determination	PD 6940 USAPI Needs Assessment_Determination Form.pdf	06/26/2017
Request for Approval	USAPI Assessment_Generic-Clearance Template.docx	06/26/2017
genIC Checklist	USAPI Assessment_Checklist for GenIC Clearance.docx	06/26/2017
Request summary	USAPI Needs Assessment Survey_Submission_Summary_6-26-2017.docx	06/26/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.