Information Collection

Course Evaluation for Continuing Education Webinars-WTCHP

IC 235814 under ICR 201802-0920-007 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WB2812-Evaluation OB 031819.doc	Other-WORD
WD 2810 Evaluation- cancer.doc	Other-WORD
WD2809 Evaluation-exposure.doc	Other-WORD
WD2811-Evaluation- response.doc	Other-WORD
WD2813 Evaluation- screening.doc	Other-WORD
OMB Fast Track Submission__CE_Trainings.docx Request for Approval	IC Document

IC Title:

Course Evaluation for Continuing Education Webinars-WTCHP

Agency IC Tracking Number:

0920-0953-19ALQ

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-WORD	WB2812-Evaluation OB 031819.doc	No	Fillable Fileable
Other-WORD	WD 2810 Evaluation- cancer.doc	No	Fillable Fileable
Other-WORD	WD2809 Evaluation-exposure.doc	No	Fillable Fileable
Other-WORD	WD2811-Evaluation- response.doc	No	Fillable Fileable
Other-WORD	WD2813 Evaluation- screening.doc	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	OMB Fast Track Submission__CE_Trainings.docx	04/23/2019

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