Information Collection

TCH Course/Unit Evaluation Form

IC 219105 under ICR 202208-0990-001 · OMB 0990-0407.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0407Appendix C - TCH Course Evaluation Questions (Sample) (12.2.15).pdf	Other-Course
0990-0407Appendix C - TCH Course Evaluation Questions (Sample) (12.2.15).pdf	Other-Course

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-Course			0990-0407Appendix C - TCH Course Evaluation Questions (Sample) (12.2.15).pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,460

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	9,460	9,460
Annual IC Time Burden (Hours)	788	788
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.