NIEHS Partnerships for Environmental Public Health (PEPH) Metrics Manual Training Pre and Post Training Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 NIEHS Partnerships for Environmental Public Health (PEPH) Metrics Manual Training Pre and Post Training Survey Form
1 Pre-Workshop survey screenshot NIEHS PEPH Metrics Manual Training Pre Workshop Participant Survey Screenshot 11.7.22.docx Form
2 Post Workshop survey screenshot NIEHS PEPH Metrics Manual Training Post Workshop Participant Survey Screenshot 11.7.22.docx Form
0925-0648 NIEHS PEPH Metrics Manual Training Customer Satisfaction Survey 11.7.22.docx fast track for PEPH Pre/Post survey IC Document

Information Collection (IC) Details

IC Title:	NIEHS Partnerships for Environmental Public Health (PEPH) Metrics Manual Training Pre and Post Training Survey	Agency IC Tracking Number:

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
Form	1	Pre-Workshop survey screenshot	NIEHS PEPH Metrics Manual Training Pre Workshop Participant Survey Screenshot 11.7.22.docx		Yes	Yes	Fillable Fileable
Form	2	Post Workshop survey screenshot	NIEHS PEPH Metrics Manual Training Post Workshop Participant Survey Screenshot 11.7.22.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	200	200
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for PEPH Pre/Post survey	0925-0648 NIEHS PEPH Metrics Manual Training Customer Satisfaction Survey 11.7.22.docx	11/07/2022

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