Registration information and activity feedback from participants of meetings and workshops.

Umbrella Generic for Information Collections Related to Gatherings

Documents and Forms

Document Name Document Type
Form 1 Registration information and activity feedback from participants of meetings and workshops. Form and Instruction
1 Activity Registration HRSA IEA Activity Registration.pdf Form and Instruction
2 Participant Follow-Up Form HRSA IEA Participant Follow-Up Form..pdf Form and Instruction
3 Post-Activity Survey HRSA IEA Post-Activity Survey.pdf Form and Instruction
Fast Track Memo - IEA Instruments.docx Fast Track Memo IC Document

Information Collection (IC) Details

IC Title:	Registration information and activity feedback from participants of meetings and workshops.	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Activity Registration	HRSA IEA Activity Registration.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Participant Follow-Up Form	HRSA IEA Participant Follow-Up Form..pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Post-Activity Survey	HRSA IEA Post-Activity Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,700	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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,700	2,700
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo	Fast Track Memo - IEA Instruments.docx	11/26/2024

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