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Public Health Laboratory Feedback on DLS Professional Development Service Offerings
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 235927
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 235927
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Public Health Laboratory Feedback on DLS Professional Development Service Offerings
Agency IC Tracking Number:
0920-0974-19ATK
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
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
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:
24
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
24
0
24
0
0
0
Annual IC Time Burden (Hours)
26
0
26
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.