Information Collection

Aim 1 Provider Pre- Training Survey

IC 263116 under ICR 202412-0920-015 · OMB 0920-1423.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1423 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MOD00003217 Aim 1 Provider Pre- Training Survey	Form and Instruction
Form MOD00003217 Aim 1 Provider Pre-Training Survey Aim 1 Provider Pre- Training Survey	Form and Instruction
MOD00003217 Aim 1 Provider Pre-Training Survey Att 4c_Aim1ProviderPreTrainingSurvey CLEAN.docx	Form and Instruction
MOD00003217 Aim 1 Provider Pre-Training Survey Att 4c_Aim1ProviderPreTrainingSurvey CLEAN.docx	Form and Instruction
Att 4c.1_Aim1ProviderPreTrainingSurvey (TC).docx Att 4c.1_ Aim 1 Provider Pre-Training Survey.(TC)	IC Document
Att 4c.1_Aim1ProviderPreTrainingSurvey (TC).docx Att 4c.1_ Aim 1 Provider Pre-Training Survey.(TC)	IC Document

IC Title:

Aim 1 Provider Pre- Training Survey

Agency IC Tracking Number:

0920-1423-24BY

Is this a Common Form? No

IC Status: Unchanged

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	MOD00003217				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 4c.1_ Aim 1 Provider Pre-Training Survey.(TC)		01/05/2024

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

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