TCH Course/Unit Evaluation Form

OS Think Cultural Health

Documents and Forms

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

Information Collection (IC) Details

IC Title:	TCH Course/Unit Evaluation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
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 %

	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

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.