NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)

[NCHHSTP] National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC)

OMB: 0920-0995

IC ID: 208451

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT) 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 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

Health Health Care Services

09-20-0161 "Records of Health Professionals in Disease Prevention and Control Training Programs"  51 FR 42485

4,500 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 4,500 0 0 0 0 4,500
Annual IC Time Burden (Hours) 225 0 0 0 0 225
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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