Information Collection

Academic Partnerships to Improve Health (APIH) Program Training/Workshop Feedback Survey (January – June, 2019)

IC 234628 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⚠️ Notice: This information collection may be referencing outdated material.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
Academic Partnerships to Improve Health (APIH) Program Training/Workshop Feedback Survey (January – June, 2019)	Form
APIH Training Feedback Survey Attachment I APIH Training Feedback Survey.docx	Form
APIH Training_Jan-June 2019_12-21.docx GENIC Template with Project Description	IC Document
ATTA~J0Y.DOC Email Invitation for AACN Virtual Training Participants	IC Document
ATTA~T52.DOC Email Invitation for ASPPH Virtual Training Participants	IC Document

IC Title:

Academic Partnerships to Improve Health (APIH) Program Training/Workshop Feedback Survey (January â June, 2019)

Agency IC Tracking Number:

0920-19KB

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	n/a	APIH Training Feedback Survey	Attachment I APIH Training Feedback Survey.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: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GENIC Template with Project Description	APIH Training_Jan-June 2019_12-21.docx	12/21/2018
Email Invitation for AACN Virtual Training Participants	ATTA~J0Y.DOC	12/21/2018
Email Invitation for ASPPH Virtual Training Participants	ATTA~T52.DOC	12/21/2018

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