Join the Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit Mailing List

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

HPH RISC Toolkit Form - PRA info

Join the Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit Mailing List

OMB: 0990-0379

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Form Approved

OMB No. 0990-0379

Exp. Date 9/30/2020

Download the HPH RISC Toolkit


If you would like to be notified about any updates to the Healthcare and Public Health Risk Identification and Site Criticality Toolkit, please provide your email address below for inclusion to the mailing list.

  • E-mail: [Text Field]

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  • State or U.S. Territory [dropdown]

    • Alabama

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  • Subsector (dropdown)

    • Direct Patient Healthcare

    • Health Information and Medical Technology

    • Health Plans and Payers; Mass Fatality Management Services

    • Medical Materials Coordinating Group Laboratories and Blood

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  • Other (Please Specify) [Text Field]

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 1 minute response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

File Typeapplication/msword
File TitleAccording to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it di
AuthorDHHS
Last Modified BySYSTEM
File Modified2018-03-08
File Created2018-03-08

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