Hospital Preparedness Program (HPP) –PHEP 2017 FOA and Aligned Application Process "Hotwash"

The Hospital Preparedness Program

⚠️ Notice: This information collection may be referencing outdated material.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
HPP PHEP CA Questionnaire.doc Other-questionnaire
0990-0391-Generic_Memo HPP_PHEP CA Hotwash (2).doc memo IC Document

Information Collection (IC) Details

IC Title:	Hospital Preparedness Program (HPP) –PHEP 2017 FOA and Aligned Application Process "Hotwash"	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-questionnaire			HPP PHEP CA Questionnaire.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	124	124
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0391-Generic_Memo HPP_PHEP CA Hotwash (2).doc	06/07/2017

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