Information Collection

2018 Train-the-Trainers (private) Feedback (OD)

IC 231853 under ICR 201802-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2018 Train-the-Trainers (private) Feedback (OD)	Form
1 2018 Train-the-Trainers Feedback form 2018-Train-the-Trainers-Feedback-Form.pdf	Form
2018-Train-the-Trainers-private Feedback-Statement (003).docx 2018 Train-the-Trainers (Private) Feedback fast track	IC Document

IC Title:

2018 Train-the-Trainers (private) Feedback (OD)

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	1	2018 Train-the-Trainers Feedback form	2018-Train-the-Trainers-Feedback-Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 135

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	135	135
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2018 Train-the-Trainers (Private) Feedback fast track	2018-Train-the-Trainers-private Feedback-Statement (003).docx	06/21/2018

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