Information Collection

Public Health Laboratory Feedback on DLS Professional Development Service Offerings

IC 235927 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Public Health Laboratory Feedback on DLS Professional Development Service Offerings	Form
03_DLS Training PD Service Delivery PHL Interview Guide_04-25-2019.docx	Other-Interview Guide
Pre-focus group questionnaire 02_DLS Training PD Service Delivery Pre Interview Questionnaire 04-25-2019.docx	Form
04_Initial PHL Interview Invitation Email 04-25-2019.docx Email invitation	IC Document
01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Interviews 04-25-2019.docx Request for Approval	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974-19ATK

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	Pre-focus group questionnaire	02_DLS Training PD Service Delivery Pre Interview Questionnaire 04-25-2019.docx		Yes	Yes	Fillable Fileable
Other-Interview Guide			03_DLS Training PD Service Delivery PHL Interview Guide_04-25-2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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	24	24
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email invitation	04_Initial PHL Interview Invitation Email 04-25-2019.docx	05/02/2019
Request for Approval	01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Interviews 04-25-2019.docx	05/02/2019

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