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Federal forms, ICRs, and supporting documents

Information Collection

TeamSTEPPS 3.0 Training Implementation and Assessment

IC 264334 under ICR 202312-0935-001 · OMB 0935-0267.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

TeamSTEPPS 3.0 Training Implementation and Assessment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Baseline Survey Attachment A - Baseline Survey.docx Yes Yes Fillable Fileable
Form and Instruction 2 Post-Training Survey Attachment B - Post-Training Survey.docx Yes Yes Fillable Fileable
Form and Instruction 3 Followup Survey Attachment C - Followup Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

10,350 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10,350 0 10,350 0 0 0
Annual IC Time Burden (Hours) 3,450 0 3,450 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Follow Up Survey Letters Attachment D - Advance invitation reminder notice - TY letter followup survey_DRAFT 11.22.23.docx 01/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.