Information Collection

CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey

IC 237143 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0974 CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey	Form and Instruction
0920-0974 Learner Feedback Survey 04_screenshot_learner-feedback-survey_Informatics-LOAS+LOAR_fy2019_07-11-2019.pdf	Form and Instruction
01_request for approval form_Informatics-LOAS+LOAR_fy2019_07-11-2019(2).docx Request for approval template	IC Document
02_screenshot_courses_Informatics-LOAS+LOAR_fy2019_7-11-2019.pdf Screenshot Course Info	IC Document
03_screenshot_invitation+reminders_Informatics-LOAS+LOAR_fy2019_07-11-2019.docx Invitation and Reminders	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974-19BMO

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	0920-0974	Learner Feedback Survey	04_screenshot_learner-feedback-survey_Informatics-LOAS+LOAR_fy2019_07-11-2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for approval template	01_request for approval form_Informatics-LOAS+LOAR_fy2019_07-11-2019(2).docx	07/29/2019
Screenshot Course Info	02_screenshot_courses_Informatics-LOAS+LOAR_fy2019_7-11-2019.pdf	07/29/2019
Invitation and Reminders	03_screenshot_invitation+reminders_Informatics-LOAS+LOAR_fy2019_07-11-2019.docx	07/29/2019

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