Information Collection

FASD Core Training Survey - Post-test

IC 220377 under ICR 202102-0920-003 · OMB 0920-1129.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FASD Core Training Survey - Post-test	Form
FASD Post-training survey N2 Core Post-Training Survey Screenshots.pdf	Form
FASD Post-training survey N2 Core Post-Training Survey Screenshots.pdf	Form
D2 Core Post-Training Survey .docx FASD Training Survey - Post-test - word	IC Document
D2 Core Post-Training Survey .docx FASD Training Survey - Post-test - word	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	none	FASD Post-training survey	N2 Core Post-Training Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,013

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-4,013	4,013
Annual IC Time Burden (Hours)	-334	334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FASD Training Survey - Post-test - word	D2 Core Post-Training Survey .docx	03/02/2016

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