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CDC TRAIN Immediate Post-Course Evaluation Tool
Application for Training
OMB: 0920-0017
IC ID: 250801
OMB.report
HHS/CDC
OMB 0920-0017
ICR 202111-0920-020
IC 250801
( )
Documents and Forms
Document Name
Document Type
CDC TRAIN Immediate Post-Course Evaluation Tool
Form and Instruction
CDC TRAIN Immediate Post-Course Evaluation Tool
Attachment_7_Appl_for_Trng_CDC_TRAIN_Immd_Post-Course_Trng_Eval.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDC TRAIN Immediate Post-Course Evaluation Tool
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 and Instruction
n/a
CDC TRAIN Immediate Post-Course Evaluation Tool
Attachment_7_Appl_for_Trng_CDC_TRAIN_Immd_Post-Course_Trng_Eval.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
300,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
900,000
0
900,000
0
0
0
Annual IC Time Burden (Hours)
105,000
0
105,000
0
0
0
Annual IC Cost Burden (Dollars)
5,115,600
0
5,115,600
0
0
0
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.