Information Collection

Post Training Evaluation (PTE)

IC 242738 under ICR 202407-0920-005 · OMB 0920-1322.

Documents and Forms

Document Name Document Type
Form 0920-1322 Post Training Evaluation (PTE) Form
0920-1322 Post Training Evaluation (PTE) Att 7_Post-Training Evaluation-Screenshots.docx Form
0920-1322 Post Training Evaluation (PTE) Att 7_Post-Training Evaluation-Screenshots.docx Form
0920-1322 Post-Training Evaluation (PTE) Att 6_Post-Training Evaluation-Word version.docx Form
0920-1322 Post-Training Evaluation (PTE) Att 6_Post-Training Evaluation-Word version.docx Form
Att 5_Post-Training Evaluation Introductory Email.docx Post-Training Evaluation Introductory Email IC Document
Att 5_Post-Training Evaluation Introductory Email.docx Post-Training Evaluation Introductory Email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Post Training Evaluation (PTE)	Agency IC Tracking Number:	0920-1322

Is this a Common Form? No		IC Status: Modified

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	0920-1322	Post Training Evaluation (PTE)	Att 7_Post-Training Evaluation-Screenshots.docx		Yes	Yes	Fillable Fileable
Form	0920-1322	Post-Training Evaluation (PTE)	Att 6_Post-Training Evaluation-Word version.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Health Professionals in Disease Prevention and Control Training Programs.	FR Citation: 51 FR 42485

Number of Respondents: 3,800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,600	7,600
Annual IC Time Burden (Hours)	633	633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Post-Training Evaluation Introductory Email	Att 5_Post-Training Evaluation Introductory Email.docx	08/01/2024

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