Information Collection

Intensive Post-Course Evaluation

IC 251728 under ICR 202202-0920-013 · OMB 0920-0995.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0995 can be found here:

Documents and Forms

Document Name Document Type
Intensive Post-Course Evaluation Form and Instruction
Intensive Post-Course Evaluation Att 14_Intensive-Post Course Evaluation-2022.docx Form and Instruction
Intensive Post-Course Evaluation Att 14_Intensive-Post Course Evaluation-2022.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Intensive Post-Course Evaluation	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	None	Intensive Post-Course Evaluation	Att 14_Intensive-Post Course Evaluation-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.