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Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 233071
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 233071
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey
Agency IC Tracking Number:
0920-0974-18BCC
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
Mtuberculosis Course Survey
04_screenshot_surveyinstrument_Mtuberculosis_course_April2018_08-29-2018.pdf
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
25
0
25
0
0
0
Annual IC Time Burden (Hours)
4
0
4
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.