Information Collection

Post-Training Survey

IC 222625 under ICR 201607-0930-002 · OMB 0930-0371.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Post-Training Surv Post-Training Survey Post-Training Survey	Form and Instruction
Post-Training Surv Post-Training Survey 2__Attachment 2 - MHFA post training survey 052616.pdf	Form and Instruction
6__Attachment 6 - MHFA Evaluation consent form for post-training survey 02 24 16.pdf Post-Training Consent FormSurvey	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Post-Training Survey				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,800

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	22,800	22,800
Annual IC Time Burden (Hours)	5,700	5,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Post-Training Consent FormSurvey		07/26/2016

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

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