Information Collection

IHS Training Needs Survey

IC 227765 under ICR 202201-0917-001 · OMB 0917-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0917-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0917-0036-23 IHS Training Needs Survey	Form and Instruction
0917-0036-23 Training Needs Survey SurveyMonkey_Training needs survey.pdf www.surveymonkey.com/r/Z2DGV5N	Form and Instruction
0917-0036-23 Training Needs Survey SurveyMonkey_Training needs survey.pdf www.surveymonkey.com/r/Z2DGV5N	Form and Instruction
OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc OMB short form	IC Document
OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc OMB short form	IC Document

IC Title:

IHS Training Needs Survey

Agency IC Tracking Number:

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
Form and Instruction	0917-0036-23	Training Needs Survey	SurveyMonkey_Training needs survey.pdf	https://www.surveymonkey.com/r/Z2DGV5N	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 950

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	950	950
Annual IC Time Burden (Hours)	238	238
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB short form	OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc	08/04/2017

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