Worker Training Program's (WTP) Spring 2022 NIEHS WTP Awardee Meeting and Workshop Evaluation/Polling Questions (NIEHS)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Worker Training Program's (WTP) Spring 2022 NIEHS WTP Awardee Meeting and Workshop Evaluation/Polling Questions (NIEHS) Form
1 Polling Wuestions Day 1 Spring Awardee meeting and workshop polling questions Workshop Day 1 (1).docx Form
2 polling Quetions Day 2 Spring Awardee meeting and workshop polling questions Workshop Day 2 (1).docx Form
3 polling questions Post meeting Spring Awardee meeting polling questions w burden stmt Post-meeting.docx Form
0925-0648 Spring Awardee Meeting Customer Satisfaction Survey Rev 05-06-2022.docx fast track Spring Awardee 2022 WTP feedback IC Document

Information Collection (IC) Details

IC Title:	Worker Training Program's (WTP) Spring 2022 NIEHS WTP Awardee Meeting and Workshop Evaluation/Polling Questions (NIEHS)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Polling Wuestions Day 1	Spring Awardee meeting and workshop polling questions Workshop Day 1 (1).docx	Yes	Yes	Fillable Fileable
Form	2	polling Quetions Day 2	Spring Awardee meeting and workshop polling questions Workshop Day 2 (1).docx	Yes	Yes	Fillable Fileable
Form	3	polling questions Post meeting	Spring Awardee meeting polling questions w burden stmt Post-meeting.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track Spring Awardee 2022 WTP feedback	0925-0648 Spring Awardee Meeting Customer Satisfaction Survey Rev 05-06-2022.docx	05/09/2022

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