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STD Treatment Guidelines Complete Post -Course Evaluation
National Network of Sexually Transmitted Disease Clinical Prevention Traning Centers (NNPTC)
OMB: 0920-0995
IC ID: 225764
OMB.report
HHS/CDC
OMB 0920-0995
ICR 202202-0920-013
IC 225764
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0995 can be found here:
2023-01-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0995
STD Treatment Guidelines Complete Post -Course Evaluation
Form and Instruction
0920-0995 STD Tx Guidelines Complete Post-course Evaluation
Att 21 STD Tx Guidelines Complete Post Course Evaluation wordversion.docx
Form and Instruction
0920-0995 STD Tx Guidelines Complete Post-course Evaluation
Att 21 STD Tx Guidelines Complete Post Course Evaluation wordversion.docx
Form and Instruction
0920-0995 STD Tx Guidelines Complete Post-Course Evaluation screen
Att 22 STD Tx Guidelines Complete Post Course Evaluation Screenshot.pdf
Form
0920-0995 STD Tx Guidelines Complete Post-Course Evaluation screen
Att 22 STD Tx Guidelines Complete Post Course Evaluation Screenshot.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
STD Treatment Guidelines Complete Post -Course Evaluation
Agency IC Tracking Number:
0920-0995
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-0995
STD Tx Guidelines Complete Post-course Evaluation
Att 21 STD Tx Guidelines Complete Post Course Evaluation wordversion.docx
Yes
Yes
Fillable Fileable
Form
0920-0995
STD Tx Guidelines Complete Post-Course Evaluation screenshot
Att 22 STD Tx Guidelines Complete Post Course Evaluation Screenshot.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Records of Health Professionals in Disease Prevention and Control Trainnig Programs
FR Citation:
51 FR 226
Number of Respondents:
548
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
0
0
-548
0
0
548
Annual IC Time Burden (Hours)
0
0
-55
0
0
55
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.