OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

CDC Work@Health Advance Program: Evaluation of Train-the-Trainer and Advanced Technical Assistance Program

OMB 0920-1077 · HHS/CDC.

OMB 0920-1077

Latest Forms, Documents, and Supporting Material

Document Name
Work@Health Advance SS B_073015.doc Supporting Statement B
Work@Health Advance SS A_073015.doc Supporting Statement A
Att D_Information Collection Flowchart_4-20-15.docx Supplementary Document
Att C_Program Objective - Survey Instrument Crosswalk_4-20-15.doc Supplementary Document
Att B-2_Summary of Public Comments_4-3-15.docx Supplementary Document
Att B-1_0920-15OO 60-day FRN 2 18 2015.pdf Supplementary Document
Att A-3_PHSA Rsch_FINAL_1-3-14.pdf Supplementary Document
Att A-2_Funding Authority_ACA-FINAL_1-3-14.pdf Supplementary Document
Att A-1_Authorizing Legislation_EBWP_FINAL_1-3-14.docx Supplementary Document
Att J_Train-the-Trainer Knowledge and Skills Survey Other-WORD Screenshots
Att I_Train-the-Trainer Application Form Other-WORD Screenshots
Att H_Employer Follow-up Survey Other-WORD Screenshots
Att G_Follow-up Accreditation Survey Other-WORD Screenshots
Att F_Advance Evaluataion Other-WORD Screenshots
Att E_Accrediation Readiness Assessment Tool Other-WORD/Screenshots

All Historical Document Collections

201506-0920-001

Approved with change

New collection (Request for a new OMB Control Number)

2015-06-11