Information Collection

Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey

IC 233071 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0974 Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey	Form and Instruction
0920-0974 Mtuberculosis Course Survey 04_screenshot_surveyinstrument_Mtuberculosis_course_April2018_08-29-2018.pdf	Form and Instruction
01_Request for approval form Mtuberculosis Course April2018_09-11-2018 final.docx Tuberculosis Survey Generic Template	IC Document
02_screenshot_Mtuberculosis-course_April2018_08292018.pdf Tuberculosis Course Info	IC Document
03_Screenshots_invitation+reminder_email_Mtuberculosis 09-10-2018.pdf Invitation and Reminder Emails	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974-18BCC

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 and Instruction	0920-0974	Mtuberculosis Course Survey	04_screenshot_surveyinstrument_Mtuberculosis_course_April2018_08-29-2018.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: 25

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Tuberculosis Survey Generic Template	01_Request for approval form Mtuberculosis Course April2018_09-11-2018 final.docx	09/19/2018
Tuberculosis Course Info	02_screenshot_Mtuberculosis-course_April2018_08292018.pdf	09/19/2018
Invitation and Reminder Emails	03_Screenshots_invitation+reminder_email_Mtuberculosis 09-10-2018.pdf	09/19/2018

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