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Federal forms, ICRs, and supporting documents

Information Collection

Health Professional Application for Training (HPAT)

IC 217674 under ICR 201902-0920-009 · OMB 0920-1099.

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

View Information Collection (IC)

Health Professional Application for Training (HPAT)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Health Professional Application for Training Att 3_HPAT.docx Yes Yes Fillable Fileable
Form none Health Professional Application for Training - screenshots Att 4_HPAT_screenshot.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

7,400 0
   
State, Local, and Tribal Governments
 
   100 %

  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 14,800 0 0 0 0 14,800
Annual IC Time Burden (Hours) 1,233 0 0 0 0 1,233
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.