Post-Technical Assistance Evaluation (PTAE)

[NCHHSTP] Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

OMB: 0920-1322

IC ID: 242739

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Document Type
Form
Form
Form
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Information Collection (IC) Details

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Post-Technical Assistance Evaluation (PTAE) 0920-1322
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE) Att 10_Post-Technical Assistance Evaluation-Screenshots.docx Yes Yes Fillable Fileable
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE) - WORD Att 9_Post-Technical Assistance Evaluation-Word version.docx No   Paper Only

Health Health Care Services

Records of Health Professionals in Disease Prevention and Control Training Programs.  51 FR 42485

3,650 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 7,300 0 7,300 0 0 0
Annual IC Time Burden (Hours) 608 0 608 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Post-Technical Assistance (TA) Evaluation Introduction Email Att 8_Post-Technical Assistance Evaluation Introductory Email.docx 08/01/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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