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CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 237143
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 237143
( )
Documents and Forms
Document Name
Document Type
Form 0920-0974
CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey
Form and Instruction
0920-0974 Learner Feedback Survey
04_screenshot_learner-feedback-survey_Informatics-LOAS+LOAR_fy2019_07-11-2019.pdf
Form and Instruction
01_request for approval form_Informatics-LOAS+LOAR_fy2019_07-11-2019(2).docx
Request for approval template
IC Document
02_screenshot_courses_Informatics-LOAS+LOAR_fy2019_7-11-2019.pdf
Screenshot Course Info
IC Document
03_screenshot_invitation+reminders_Informatics-LOAS+LOAR_fy2019_07-11-2019.docx
Invitation and Reminders
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey
Agency IC Tracking Number:
0920-0974-19BMO
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
0920-0974
Learner Feedback Survey
04_screenshot_learner-feedback-survey_Informatics-LOAS+LOAR_fy2019_07-11-2019.pdf
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:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
1,000
0
1,000
0
0
0
Annual IC Time Burden (Hours)
83
0
83
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for approval template
01_request for approval form_Informatics-LOAS+LOAR_fy2019_07-11-2019(2).docx
07/29/2019
Screenshot Course Info
02_screenshot_courses_Informatics-LOAS+LOAR_fy2019_7-11-2019.pdf
07/29/2019
Invitation and Reminders
03_screenshot_invitation+reminders_Informatics-LOAS+LOAR_fy2019_07-11-2019.docx
07/29/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.