TeamSTEPPS 2.0 Online Post-Training Survey

TeamSTEPPS 2.0 Online Master Trainer Course

Documents and Forms

Document Name Document Type
Form 1 TeamSTEPPS 2.0 Online Post-Training Survey Form and Instruction
1 Attachment A Post Training Survey TS_Online_OMB_Attachment A_Post_Training_Survey_040617.docx Form and Instruction

Information Collection (IC) Details

IC Title:	TeamSTEPPS 2.0 Online Post-Training Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Attachment A Post Training Survey	TS_Online_OMB_Attachment A_Post_Training_Survey_040617.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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