Wet Mount Post-Course Evaluation

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

OMB: 0920-0995

IC ID: 225762

Information Collection (IC) Details

View Information Collection (IC)

Wet Mount Post-Course 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 Wet Mount Post-Course Evaluation wordversion Att 17 Wet Mount Post Course Evaluation wordversion.docx Yes Yes Fillable Fileable
Form 0920-0995 Wet Mount Post-Course Evaluation -Screenshot Att 18 Wet Mount 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

40 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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 2 0 0 0 0 2
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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