Course Evaluation for Continuing Education Webinars-WTCHP

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.