Intensive Complete Post-Couse Evaluation

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

OMB: 0920-0995

IC ID: 225738

Information Collection (IC) Details

View Information Collection (IC)

Intensive Complete Post-Couse Evaluation 0920-0995
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0995 Intensive Complete Post-Course Evaluation wordversion Att 5 Intensive Complete Post Course Evaluation wordversion + cover sheet.docx Yes Yes Fillable Fileable
Form 0920-0995 Intensive Complete Post-Course Evaluation -Screenshot Att 6 Intensive Complete Post Course 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

116 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 116 0 0 0 0 116
Annual IC Time Burden (Hours) 31 0 0 0 0 31
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.

© 2024 OMB.report | Privacy Policy