Healthcare Preparedness Program (hpp) Needs Assessment Questionnaire

The Hospital Preparedness Program

OMB: 0990-0391

IC ID: 217165

Information Collection (IC) Details

View Information Collection (IC)

HEALTHCARE PREPAREDNESS PROGRAM (HPP) NEEDS ASSESSMENT QUESTIONNAIRE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-questionnaire 0990-0391NeedsAssessment_questionnaire_2015(cys).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

62 0
   
Individuals or Households
 
   0 %

  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 62 0 62 0 0 0
Annual IC Time Burden (Hours) 31 0 31 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HPP Needs Assessment 0990-0391- HPP Needs Assessment Questionnaire .doc 06/23/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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