Information Collection

NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)

IC 208451 under ICR 202211-0920-008 · OMB 0920-0995.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0995 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	Form and Instruction
NNPTC Abbreviated Health Professional Application for Tr Att 3_Approved NNPTC HPAT 2022-11.22.22.docx	Form and Instruction
NNPTC Abbreviated Health Professional Application for Tr Att 3_Approved NNPTC HPAT 2022-11.22.22.docx	Form and Instruction
NNPTC Abbreviated Health Professional Application for Tr Att 4_ Approved NNPTC HPAT-Screenshots.pdf	Form and Instruction
NNPTC Abbreviated Health Professional Application for Tr Att 4_ Approved NNPTC HPAT-Screenshots.pdf	Form and Instruction

IC Title:

NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)

Agency IC Tracking Number:

0920-0995

Is this a Common Form? No

IC Status: Modified

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	None	NNPTC Abbreviated Health Professional Application for Training (paper option)	Att 3_Approved NNPTC HPAT 2022-11.22.22.docx		No		Paper Only
Form and Instruction	None	NNPTC Abbreviated Health Professional Application for Training (electronic option)	Att 4_ Approved NNPTC HPAT-Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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: 4,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	225	225
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.