Information Collection

[NCEZID] Project Firstline (PFL) Education and Training Feedback Form

IC 275175 under ICR 202409-0920-009 · OMB 0920-1071.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Project Firstline Education & Training Evaluation Feedback Form [NCEZID] Project Firstline (PFL) Education and Training Feedback Form	Form and Instruction
Project Firstline Education & Training Evaluation Feedba EdTraining Feedback Form_w logic_FinalDraft_04.09.25.docx	Form and Instruction
Service Delivery Fast Track_Education Training Feedback Form_04.18.25_final.docx GenIC Request Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-25-0111

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
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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 %

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
GenIC Request Template		05/06/2025

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

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