Information Collection

Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings

IC 236116 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings	Form and Instruction
Pre-interview Questionnaire 02_DLS Training PD Service Delivery Pre Interview Questionnaire 05-14-2019.docx	Form and Instruction
n/q Interview Guide 03_DLS Training PD Service Delivery CL Interview Guide_05-14-2019.docx	Form and Instruction
01_R~4YX.DOC Template with Project Description and Justification	IC Document
04_Initial CL Interview Invitation Email 05-14-2019.docx Email Invitation	IC Document

IC Title:

Agency IC Tracking Number:

0920-19AYP

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	n/a	Pre-interview Questionnaire	02_DLS Training PD Service Delivery Pre Interview Questionnaire 05-14-2019.docx		No		Paper Only
Form and Instruction	n/q	Interview Guide	03_DLS Training PD Service Delivery CL Interview Guide_05-14-2019.docx		No		Paper Only

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: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

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
Template with Project Description and Justification	01_R~4YX.DOC	05/17/2019
Email Invitation	04_Initial CL Interview Invitation Email 05-14-2019.docx	05/17/2019

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