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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Public Health Improvement Training (PHIT) Reaction Survey
Agency IC Tracking Number:
0920-1050-19AWZ
IC Status:
New
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 and Instruction
0920-1050
PHIT End of Session Survey - Web version
Attachment B - PHIT Session Survey Instrument _Web Version.docx
NA
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1050
PHIT End of Training Survey - Web version
Attachment D- PHIT End of Training Survey Instrument _Web Version.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
500
0
500
0
0
0
Annual IC Time Burden (Hours)
100
0
100
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PHIT End of Session Survey - Word version
Attachment A - PHIT-Session Survey Instrument 5.8.19.docx
05/28/2019
PHIT End of Training Survey - Word version
Attachment C - PHIT- End of Training Survey Instrument 5.8.docx
05/28/2019
Individual Session Survey Web App Invite and Reminder
Attachment E - Individual Session Survey Web App Invite and Reminder.docx
05/28/2019
End of Training Survey - Email Invite
Attachment F - End of Training Survey Email Invite.docx
05/28/2019
End of Training Survey - Reminder
Attachment G - End of Training Survey Reminder.docx
05/28/2019
GenIC Request
PHIT Reaction Survey_Request for Approval_0920-1050 Customer Service GenIC.docx
05/28/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.