Information Collection

Level 2 Training Course Evaluation (ORA)

IC 251188 under ICR 202204-0910-001 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey Instrument.docx	Other-Survey
Survey Instrument.docx	Other-Survey
Invitation.docx	Other-Invitation
Invitation.docx	Other-Invitation
0360 OMB Approval Memo - Level 2 Training Course Evaluation 2022.docx OMB approval memo	IC Document
0360 OMB Approval Memo - Level 2 Training Course Evaluation 2022.docx OMB approval memo	IC Document

IC Title:

Level 2 Training Course Evaluation (ORA)

Agency IC Tracking Number:

ORA

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
Other-Survey			Survey Instrument.docx		Yes	Yes	Fillable Fileable
Other-Invitation			Invitation.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0360 OMB Approval Memo - Level 2 Training Course Evaluation 2022.docx	01/19/2022

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