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Diagnostic Parasitology Course Feedback
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 235689
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 235689
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Diagnostic Parasitology Course Feedback
Agency IC Tracking Number:
0920-0974-19APJ
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
none
Diagnostic Parasitology Learner Feedback Survey
04_screenshot_SurveyInstrument_Parasitology_LearnerFeedbackSurvey_September2018_04-11-2019(2).pdf
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:
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 %
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
40
0
40
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.