Information Collection

PHAP Alumni Survey

IC 229893 under ICR 201801-0920-003 · OMB 0920-1078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1078 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1078 PHAP Alumni Survey	Form and Instruction
0920-1078 PHAP Alumni Survey Attachment K_PHAP Alumni Survey Screen Shots.pdf	Form and Instruction

IC Title:

PHAP Alumni Survey

Agency IC Tracking Number:

Is this a Common Form? No

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
Form and Instruction	0920-1078	PHAP Alumni Survey	Attachment K_PHAP Alumni Survey Screen Shots.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: 09-20-0161 - Records of Health Professionals in Disease Prevention and Control Training Programs

FR Citation: 51 FR 42485

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.