Information Collection

Hospital Preparedness Program (HPP) Coalition Assessment Tool (CAT)

IC 226735 under ICR 201504-0990-001 · OMB 0990-0391.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
0990-0391 HHP_Coalition Assessment Tool_questions (2).docx Other-form
0990-0391Generic_Memo_HPP CAT (2).doc memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hospital Preparedness Program (HPP) Coalition Assessment Tool (CAT)	Agency IC Tracking Number:

IC Status: New

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
Other-form			0990-0391 HHP_Coalition Assessment Tool_questions (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 486	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	486	486
Annual IC Time Burden (Hours)	1,944	1,944
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0391Generic_Memo_HPP CAT (2).doc	05/08/2017

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