Information Collection

Public Health Improvement Training (PHIT) Reaction Survey

IC 236201 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 Public Health Improvement Training (PHIT) Reaction Survey	Form and Instruction
0920-1050 PHIT End of Session Survey - Web version Attachment B - PHIT Session Survey Instrument _Web Version.docx	Form and Instruction
0920-1050 PHIT End of Training Survey - Web version Attachment D- PHIT End of Training Survey Instrument _Web Version.docx	Form and Instruction
Attachment A - PHIT-Session Survey Instrument 5.8.19.docx PHIT End of Session Survey - Word version	IC Document
Attachment C - PHIT- End of Training Survey Instrument 5.8.docx PHIT End of Training Survey - Word version	IC Document
Attachment E - Individual Session Survey Web App Invite and Reminder.docx Individual Session Survey Web App Invite and Reminder	IC Document
Attachment F - End of Training Survey Email Invite.docx End of Training Survey - Email Invite	IC Document
Attachment G - End of Training Survey Reminder.docx End of Training Survey - Reminder	IC Document
PHIT Reaction Survey_Request for Approval_0920-1050 Customer Service GenIC.docx GenIC Request	IC Document

IC Title:

Public Health Improvement Training (PHIT) Reaction Survey

Agency IC Tracking Number:

0920-1050-19AWZ

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 and Instruction	0920-1050	PHIT End of Session Survey - Web version	Attachment B - PHIT Session Survey Instrument _Web Version.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1050	PHIT End of Training Survey - Web version	Attachment D- PHIT End of Training Survey Instrument _Web Version.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PHIT End of Session Survey - Word version	Attachment A - PHIT-Session Survey Instrument 5.8.19.docx	05/28/2019
PHIT End of Training Survey - Word version	Attachment C - PHIT- End of Training Survey Instrument 5.8.docx	05/28/2019
Individual Session Survey Web App Invite and Reminder	Attachment E - Individual Session Survey Web App Invite and Reminder.docx	05/28/2019
End of Training Survey - Email Invite	Attachment F - End of Training Survey Email Invite.docx	05/28/2019
End of Training Survey - Reminder	Attachment G - End of Training Survey Reminder.docx	05/28/2019
GenIC Request	PHIT Reaction Survey_Request for Approval_0920-1050 Customer Service GenIC.docx	05/28/2019

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