Participating Employer - Pilot Training: Train-the-Trainer Evaluation Survey

CDC Work@Health Program: Phase 1

OMB: 0920-0989

IC ID: 208010

Information Collection (IC) Details

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Participating Employer - Pilot Training: Train-the-Trainer Evaluation Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Train-the-Trainer Evaluation Survey Attachment H_Train-the-Trainer Eval Instrument_6-25-13.doc Yes No Printable Only

Health Immunization Management

 

15 15
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 15 0 15 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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