Information Collection

OBGYN Avatar Training Survey

IC 220396 under ICR 201704-0920-007 · OMB 0920-1129.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1129 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OBGYN Avatar Training Survey	Form
OBGYN Avatar Training Survey R5 OBGYN Avatar Training Satisfaction Survey.pdf	Form
H5 OBGYN Avatar Training Satisfaction Survey.docx OBGYN Avatar Training Survey - word	IC Document

IC Title:

OBGYN Avatar Training Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	none	OBGYN Avatar Training Survey	R5 OBGYN Avatar Training Satisfaction Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OBGYN Avatar Training Survey - word	H5 OBGYN Avatar Training Satisfaction Survey.docx	03/02/2016

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