TCEO Follow-up Evaluation

Application for Training

Documents and Forms

Document Name Document Type
TCEO Follow-up Evaluation Form
TCEO Follow-up Evaluation Attachment 6_Appl for Trng_TCEO post courseFollow-up Screenshots final.pdf Form

Information Collection (IC) Details

IC Title:	TCEO Follow-up Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	TCEO Follow-up Evaluation	Attachment 6_Appl for Trng_TCEO post courseFollow-up Screenshots final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: 09-20-01610-Records of Health Professionals in Disease Prevention and Control Training Programs	FR Citation: 51 FR 42485

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	90,000	50,000	40,000
Annual IC Time Burden (Hours)	4,500	2,500	2,000
Annual IC Cost Burden (Dollars)	219,240	126,440	92,800

Documents for IC

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.