Information Collection

Evaluation form for training of AIM Team Leads

IC 237394 under ICR 201908-0935-001 · OMB 0935-0246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form B Evaluation form for training of AIM Team Leads	Form and Instruction
Attachment B AIM Team Leads Training Workshop Evaluation form.docx	Instruction
B Evaluation form for training of AIM Team Leads Attachment B AIM Team Leads Training Workshop Evaluation form.docx	Form and Instruction

IC Title:

Evaluation form for training of AIM Team Leads

Agency IC Tracking Number:

Is this a Common Form? No

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	B	Evaluation form for training of AIM Team Leads	Attachment B AIM Team Leads Training Workshop Evaluation form.docx		No		Paper Only
Instruction			Attachment B AIM Team Leads Training Workshop Evaluation form.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 290

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	290	290
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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