Follow-up Survey

Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

OMB: 0920-1322

IC ID: 242740

Information Collection (IC) Details

View Information Collection (IC)

Follow-up Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Follow-up Survey Att 13_Training and TA Follow-up Survey-Screenshots.docx Yes Yes Fillable Fileable
Form none Follow-up survey - word Att 12_Training and TA Follow-Up Survey-Word version.docx Yes Yes Fillable Fileable

Health Health Care Services

Records of Health Professionals in Disease Prevention and Control Training Programs.  51 FR 42485

139 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 278 0 278 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 1,976 0 1,976 0 0 0

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.

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