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CDC Public Health and Preparedness Webinar Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 236771
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 236771
( )
Documents and Forms
Document Name
Document Type
CDC Public Health and Preparedness Webinar Feedback Survey
Form
Learner Feedback Survey
04_surveyinstrument_learnerfeedbacksurvey_fy2019_webinars_06-28-2019.pdf
Form
01_request for approval form_fy2019_webinars_06-28-2019.docx
Request for Approval
IC Document
02_screenshot_courses_FY2019_webinar_brochures_06-28-2019.pdf
Webinar brochures
IC Document
03_screenshot_invitation+reminders_fy2019_webinars_06-28-2019.pdf
Invitation and reminders
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDC Public Health and Preparedness Webinar Feedback Survey
Agency IC Tracking Number:
0920-0974-19BKJ
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
Learner Feedback Survey
04_surveyinstrument_learnerfeedbacksurvey_fy2019_webinars_06-28-2019.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:
700
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:
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
700
0
700
0
0
0
Annual IC Time Burden (Hours)
58
0
58
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_fy2019_webinars_06-28-2019.docx
07/01/2019
Webinar brochures
02_screenshot_courses_FY2019_webinar_brochures_06-28-2019.pdf
07/01/2019
Invitation and reminders
03_screenshot_invitation+reminders_fy2019_webinars_06-28-2019.pdf
07/01/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.