View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment	Agency IC Tracking Number:	0920-1050-25BI

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	Education and Training Needs Assessment – Survey Questions _2024	2024 Education and Training Needs Assessment-FINAL.11.12.24.docx	N/A	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 43,537	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	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	43,537	0	43,537	0	0	0
Annual IC Time Burden (Hours)	10,884	0	10,884	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template	Customer Service GenIC Clearance Template - FINAL 11.13.24.docx	11/18/2024

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