View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Public Health Training Feedback Form	Agency IC Tracking Number:	2022-BIA-FT4

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
Other-Feedback Survey Form			Feedback Form_Public Health Training w-Question Identifiers.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	1,200	0	1,200	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
Request for Approval	IA Public Health Training Feedback_DI-4011 Fast Track Request Form_Nov2021_IA-ICCO.pdf	02/03/2022

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