Information Collection

Level 1 Evaluation of Programs

IC 239007 under ICR 201911-1103-003 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0117 Training Evaluation Level 1 Evaluation of Programs	Form and Instruction
1103-0117 Training Evaluation CRS OMB Clearance Submission 1- Training Eval.doc	Form and Instruction
1. Training Eval Form-Draft 12.11.2019.jpg Fast Track Template Training Evaluation	IC Document

IC Title:

Level 1 Evaluation of Programs

Agency IC Tracking Number:

1103-0117

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	1103-0117	Training Evaluation	CRS OMB Clearance Submission 1- Training Eval.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Personnel

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Template Training Evaluation	1. Training Eval Form-Draft 12.11.2019.jpg	12/19/2019

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