Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey

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

Documents and Forms

Document Name Document Type
Form 0920-0974 Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey Form and Instruction
0920-0974 Laboratory Identification of Emerging Pathogenic Molds C 04_screenshot_surveyinstrument_PathogenicMoldsCourseMay2018_learnerfeedback_08-22-2018.pdf Form and Instruction
02_screenshot_PathogenicMoldsCourse May 2018_08-22-2018.pdf Laboratory Identification of Emerging Pathogenic Molds - A Basic Course IC Document
03_Screenshots_invitation+reminder_email_BasicMycologyCourseMay2018_Learnerfeedback_Survey_08-22-2018.pdf Invitation and Reminder Email Invitations to Learner Feedback Survey IC Document
01_Request for approval form PathogenicMoldsCourse May 2018_08-22-2018.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey	Agency IC Tracking Number:	0920-0974 18AXI

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 and Instruction	0920-0974	Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey	04_screenshot_surveyinstrument_PathogenicMoldsCourseMay2018_learnerfeedback_08-22-2018.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Laboratory Identification of Emerging Pathogenic Molds - A Basic Course	02_screenshot_PathogenicMoldsCourse May 2018_08-22-2018.pdf	08/23/2018
Invitation and Reminder Email Invitations to Learner Feedback Survey	03_Screenshots_invitation+reminder_email_BasicMycologyCourseMay2018_Learnerfeedback_Survey_08-22-2018.pdf	08/23/2018
GenIC Request	01_Request for approval form PathogenicMoldsCourse May 2018_08-22-2018.docx	08/23/2018

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