Information Collection

Evaluation form for training of AIM Team Leads

IC 237394 under ICR 202105-0935-001 · OMB 0935-0246.

Documents and Forms

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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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

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