Information Collection

BHPr Funding Strategy Evaluation- Expansion of Physician Assistant Training

IC 196219 under ICR 200904-0915-002 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BHPr Funding Strategy Evaluation- Expansion of Physician Assistant Training	Form
1 EPAT Eligible Funded Script - EPAT Eligible Applicants Applied Funded-1 25 11 Final.docx	Form
2 EPAT- Eligible Inquiry Did Not Apply Script -EPAT Eligible Applicants Inquiry Did Not Apply-1 25 11 Final.docx	Form
3 EPAT- Eligible No Inquiry Did Not Apply Script - EPAT Eligible Organizations no inquiry did not apply-1 25 11 Final.docx	Form
BHPR-EPAT Funding Strategy Eval Project-FINAL Supporting Statement-2.3.11.docx BHPr Funding Strategy Evaluation - EPAT Supporting Statement	IC Document
Evaluation Interview One-pager - EPAT.docx BHPr Funding Strategy-EPAT Informational One Pager	IC Document

IC Title:

BHPr Funding Strategy Evaluation- Expansion of Physician Assistant Training

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	EPAT Eligible Funded	Script - EPAT Eligible Applicants Applied Funded-1 25 11 Final.docx	No	No	Printable Only
Form	2	EPAT- Eligible Inquiry Did Not Apply	Script -EPAT Eligible Applicants Inquiry Did Not Apply-1 25 11 Final.docx	No	No	Printable Only
Form	3	EPAT- Eligible No Inquiry Did Not Apply	Script - EPAT Eligible Organizations no inquiry did not apply-1 25 11 Final.docx	No	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	110	0	0	0	0	0
Annual IC Time Burden (Hours)	32	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BHPr Funding Strategy Evaluation - EPAT Supporting Statement	BHPR-EPAT Funding Strategy Eval Project-FINAL Supporting Statement-2.3.11.docx	02/03/2011
BHPr Funding Strategy-EPAT Informational One Pager	Evaluation Interview One-pager - EPAT.docx	02/03/2011

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