Practicum Long-Term Evaluation

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

OMB: 0920-0995

IC ID: 225748

Information Collection (IC) Details

View Information Collection (IC)

Practicum 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 15 Practicum Long-Term Evaluation wordversion Att 15 Practicum Long-Term Evaluation wordversion.docx Yes Yes Fillable Fileable
Form 0920-0995 Att 16 Practicum 3-month Long-Term Evaluation -Screenshot Att 16 Practicum 3-month Long-Term Evaluation -Screenshot.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

20 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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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