Information Collection

(ORA) OTED Self-Paced Course Evaluation

IC 266424 under ICR 202309-0910-007 · OMB 0910-0360.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Invitation Self Paced Course Evaluation.docx	Other-Invitation
Self Paced Course Evaluation.docx	Other-Evaluation
0360 OMB Memo Self Paced Course Evaluation.docx OMB Memo / Abbreviated Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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-Invitation			Invitation Self Paced Course Evaluation.docx		Yes	Yes	Fillable Fileable
Other-Evaluation			Self Paced Course Evaluation.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo / Abbreviated Supporting Statement	0360 OMB Memo Self Paced Course Evaluation.docx	03/29/2024

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