Information Collection

OHS TTA Network Training Feedback Form

IC 228217 under ICR 201706-0970-005 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 OHS TTA Network Training Feedback Form	Form and Instruction
1 Feedback Form OHS-TTA-Network-Training-Feedback-Form.docx	Form and Instruction
OHS-TTA-Network-Training-Feedback-Form-PRA-submission-short-form-9-7-17.doc OHS TTA Network Feedback Form	IC Document

IC Title:

OHS TTA Network Training Feedback Form

Agency IC Tracking Number:

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	1	Feedback Form	OHS-TTA-Network-Training-Feedback-Form.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OHS TTA Network Feedback Form	OHS-TTA-Network-Training-Feedback-Form-PRA-submission-short-form-9-7-17.doc	09/07/2017

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