IHS Training Needs Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0917-0036 can be found here:

Documents and Forms

Document Name Document Type
Form 0917-0036-23 IHS Training Needs Survey Form and Instruction
0917-0036-23 Training Needs Survey SurveyMonkey_Training needs survey.pdf www.surveymonkey.com/r/Z2DGV5N Form and Instruction
0917-0036-23 Training Needs Survey SurveyMonkey_Training needs survey.pdf www.surveymonkey.com/r/Z2DGV5N Form and Instruction
OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc OMB short form IC Document
OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc OMB short form IC Document

Information Collection (IC) Details

IC Title:	IHS Training Needs Survey	Agency IC Tracking Number:	23

IC Status: Unchanged

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	0917-0036-23	Training Needs Survey	SurveyMonkey_Training needs survey.pdf	https://www.surveymonkey.com/r/Z2DGV5N	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 950	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	950	950
Annual IC Time Burden (Hours)	238	238
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB short form	OMB 0917-0036-23 IHS RPMS Annual Training Needs Assessment revised.doc	08/04/2017

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