Information Collection

AAP Pre-Training Evaluation Survey

IC 220414 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⚠️ Notice: This information collection may be referencing outdated material.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
AAP Pre-Training Evaluation Survey	Form
AAP Pre-training Survey AAP Pre-Training Evaluation Survey V2.pdf	Form
AAP Pre-Training Evaluation Survey_Edited V2.docx AAP Pre-training Survey - word	IC Document

IC Title:

AAP Pre-Training Evaluation Survey

Agency IC Tracking Number:

17ADN

Is this a Common Form? No

IC Status: Modified

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	AAP Pre-training Survey	AAP Pre-Training Evaluation Survey V2.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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	120	0	120
Annual IC Time Burden (Hours)	6	-8	14
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
AAP Pre-training Survey - word	AAP Pre-Training Evaluation Survey_Edited V2.docx	05/09/2017

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