Intensive Complete Long-Term Evaluation

National Network of Sexually Transmitted Disease Clinical Prevention Traning Centers (NNPTC)

OMB: 0920-0995

IC ID: 225741

Information Collection (IC) Details

View Information Collection (IC)

Intensive Complete Long-Term Evaluation
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0995 Att 7 Intensive Complete Long-Term Evaluation wordversion Att 7 Intensive Complete Long-Term Evaluation wordversion.docx Yes Yes Fillable Fileable
Form 0920-0995 Att 8 Intensive Complete Long-Term Evaluation -Screenshot Att 8 Intensive Complete Long-Term Evaluation -Screenshot.pdf Yes Yes Fillable Fileable

Health Health Care Services

Records of Health Professionals in Disease Prevention and Control Trainnig Programs   51 FR 226

36 0
   
State, Local, and Tribal Governments
 
   95 %

  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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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