Information Collection

Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings

IC 235481 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 Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings	Form and Instruction
0920-0974 Pre-Focus Group Questionnaire 02_DLS Training PD Service Delivery Pre Focus Group Questionnaire 03-22-2019(2).docx	Form and Instruction
0920-0974 Focus Group Guide 03_DLS Training PD Service Delivery PHL Focus Group Guide 03-22-2019(2).docx	Form and Instruction
01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Focus Group 03-22-2019.docx Request of Approval	IC Document
04_Initial PHL Focus Group Invitation Email 03-22-2019.docx PHI Focus Group Invitation	IC Document
05_DLS Training and PD Service Delivery Focus Group Informed Consent 03-22-2019.docx Informed Consent	IC Document

IC Title:

Agency IC Tracking Number:

0920-19AJA

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	Focus Group Guide	03_DLS Training PD Service Delivery PHL Focus Group Guide 03-22-2019(2).docx		No		Paper Only
Form and Instruction	0920-0974	Pre-Focus Group Questionnaire	02_DLS Training PD Service Delivery Pre Focus Group Questionnaire 03-22-2019(2).docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	100	100
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request of Approval	01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Focus Group 03-22-2019.docx	03/26/2019
PHI Focus Group Invitation	04_Initial PHL Focus Group Invitation Email 03-22-2019.docx	03/26/2019
Informed Consent	05_DLS Training and PD Service Delivery Focus Group Informed Consent 03-22-2019.docx	03/26/2019

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