Form 0920-0840 Formative Evaluation of Professional Development Resourc

1/22/2019
Form Approved
OMB No. 0920-0840
Expiration Date: XX/XX/XXXX

Formative Evaluation of Professional Development Resources

Attachment 3a
Web Survey

Public reporting burden of this collection of information is estimated to average 20
minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a
person is not required to respond to a collection of information unless it displays a
currently valid OMB control number. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing
this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840)