Information Collection

NIEHS Worker Training Program's (WTP) Spring 2023 NIEHS WTP Grantee Meeting Assessment Questions

IC 259913 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIEHS Worker Training Program's (WTP) Spring 2023 NIEHS WTP Grantee Meeting Assessment Questions	Form and Instruction
1 Survey WTP Sp2023 - Awardee meeting Assessment Survey 4-25-2023 (1).docx	Form and Instruction
Template Spring 2023 Awardee Meeting Customer Satisfaction Survey.docx Template	IC Document
WTP Spring Workshop and Meeting Web page announcement.docx Announcement	IC Document

IC Title:

NIEHS Worker Training Program's (WTP) Spring 2023 NIEHS WTP Grantee Meeting Assessment Questions

Agency IC Tracking Number:

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
Form and Instruction	1	Survey	WTP Sp2023 - Awardee meeting Assessment Survey 4-25-2023 (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 129

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	129	129
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	Template Spring 2023 Awardee Meeting Customer Satisfaction Survey.docx	04/27/2023
Announcement	WTP Spring Workshop and Meeting Web page announcement.docx	04/27/2023

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