Information Collection Request

TeamSTEPPS 2.0 Online Master Trainer Course

ICR 201708-0935-003 · OMB 0935-0224 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 TeamSTEPPS 2.0 Online Post-Training Survey Form and Instruction Modified Available
TS_Online_OMB_Attachment B_Email Notifications_040617.docx Supplementary Document Uploaded 2017-08-18 Available
TS Online Supporting Statement Part B_040617.docx Supporting Statement B Uploaded 2017-08-18 Available
TS Online Supporting Statement Part A_040617.docx Supporting Statement A Uploaded 2017-08-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
213196 TeamSTEPPS 2.0 Online Post-Training Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2020 36 Months From Approved 11/30/2017
3,000 0 3,000
1,000 0 1,000
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
TeamSTEPPS 2.0 Online Post-Training Survey 1 Attachment A Post Training Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No