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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.