Information Collection Request

ICR 201504-0990-001 · OMB 0990-0391 · Public filing

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0990-0391 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
0990-0391 Section B - Methodology (Statistical Methods).docx	Supporting Statement B	Uploaded 2015-04-16	Available
0990-HospitalPrepardnessAPPENDIX C.DOCX	Supplementary Document	Uploaded 2012-03-13	Available
0990-0391HospitalPreparednessProgram-1-30-15FINALCYS (3edit4_13) (2).doc	Supporting Statement A	Uploaded 2015-04-16	Available

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
231479	Health Center Survey and Interviews	Other-survey	New
231115	Hospital Preparedness Program (HPP) Ebola / OSP Preparedness Measures	Other-survey	New
229531	Hospital Preparedness Program (HPP) Trauma Center Association of America (TCAA) Member Survey	Other-survey	New
228505	Hospital Preparedness Program (HPP) Impact Survey	Other-survey	New
227990	Urgent Care Center Interviews	Other-interview	New
227119	Hospital Preparedness Program (HPP) –PHEP 2017 FOA and Aligned Application Process "Hotwash"	Other-questionnaire	New
226735	Hospital Preparedness Program (HPP) Coalition Assessment Tool (CAT)	Other-form	New
220886	ASPR Medical Supply Chain Interviews	Other-interview	New
220760	Crisis Re-Entry Questionnaire Survey	Other-questionnaire	New
220006	HPP BP2 Data Display Survey	Other-survey	New
219019	Partnership Meeting Questionnaire	Other-questionnaire	New
218648	Healthcare System Stress Pulse Query	Other-survey	New
217165	HEALTHCARE PREPAREDNESS PROGRAM (HPP) NEEDS ASSESSMENT QUESTIONNAIRE	Other-questionnaire	New
216769	TRACIE Technical Assistance User Feedback Survey	Other-survey	New
216149	BP3 HPP EOY	Other-Template	New

Record metadata
OMB Control No	0990-0391