Information Collection

Diagnostic Parasitology Course Feedback

IC 235689 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Diagnostic Parasitology Course Feedback	Form
Diagnostic Parasitology Learner Feedback Survey 04_screenshot_SurveyInstrument_Parasitology_LearnerFeedbackSurvey_September2018_04-11-2019(2).pdf	Form
01_Request for approval form_2018ParasitologyCourse_LearnerFeedbackSurvey_04-11-2019.docx Request for Approval	IC Document
02_screenshot_brochure_ParasitologyCourse2018_LearnerFeedbackSurvey_04-11-2019.pdf Brochure	IC Document
03_screenshot_invitation+reminders_2018ParasitologyCourse_LearnerFeedbackSurvey_04-11-2019.pdf Email invitation and reminder	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974-19APJ

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	none	Diagnostic Parasitology Learner Feedback Survey	04_screenshot_SurveyInstrument_Parasitology_LearnerFeedbackSurvey_September2018_04-11-2019(2).pdf		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

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	40	40
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	01_Request for approval form_2018ParasitologyCourse_LearnerFeedbackSurvey_04-11-2019.docx	04/16/2019
Brochure	02_screenshot_brochure_ParasitologyCourse2018_LearnerFeedbackSurvey_04-11-2019.pdf	04/16/2019
Email invitation and reminder	03_screenshot_invitation+reminders_2018ParasitologyCourse_LearnerFeedbackSurvey_04-11-2019.pdf	04/16/2019

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