Information Collection

Hospital Preparedness Program (HPP) Ebola / OSP Preparedness Measures

IC 231115 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
TestCopy of Ebola_PartA_Y3_EOY_MD_template04162018.xlsm	Other-survey
Ex_0990-Generic_Memo Template_HPP Ebola OSP_2018_CYS.DOC SS_A	IC Document

IC Title:

Hospital Preparedness Program (HPP) Ebola / OSP Preparedness Measures

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			TestCopy of Ebola_PartA_Y3_EOY_MD_template04162018.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS_A	Ex_0990-Generic_Memo Template_HPP Ebola OSP_2018_CYS.DOC	04/18/2018

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