Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
3 Month Long-Term Email Invitation New 660 11 0 Instruction
Basic Long-Term Evaluation New 50 2 0 Instruction
Instruction
Immediate Post-Course Email Invitation New 33 1 0 Instruction
Intensive Complete Long-Term Evaluation New 36 6 0 Form and Instruction 0920-0995 Att 7 Intensive Complete Long-Term Evaluation wordversion
Form 0920-0995 Att 8 Intensive Complete Long-Term Evaluation -Screenshot
Intensive Complete Post-Couse Evaluation New 116 31 0 Form and Instruction 0920-0995 Att 5 Intensive Complete Post-Course Evaluation wordversion
Form 0920-0995 Att 6 Intensive Complete Post-Course Evaluation -Screenshot
Intensive-Didactic Long-Term Evaluation New 58 7 0 Form and Instruction 0920-0995 Att 11 Intensive Didactic Long-Term Evaluation wordversion
Form and Instruction 0920-0995 Att 12 Intensive Didactic Long-Term Evaluation -Screenshot
Intensive-Didactic Post Course Evaluation New 166 28 0 Form and Instruction 0920-0995 Att 9 Intensive Didactic Post-Course Evaluation wordversion
Form and Instruction 0920-0995 Att 10 Intensive Didactic Post-Course Evaluation – Screenshot
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT) Modified 4500 225 0 Form and Instruction 0920-0995 Att 3 NNPTC Abbreviated HPAT wordversion
Form and Instruction 0920-0995 Att 4 Abbreiviated HPAT Screenshot
Practicum Long-Term Evaluation New 20 1 0 Form and Instruction 0920-0995 Att 15 Practicum Long-Term Evaluation wordversion
Form 0920-0995 Att 16 Practicum 3-month Long-Term Evaluation -Screenshot
Practicum Post-Course Evaluation New 70 5 0 Form and Instruction 0920-0995 Att 13 Practicum Post-Course Evaluation wordversion
Form 0920-0995 Att 14 Practicum Post-Course Evaluation -Screenshot
STD Treatment Guidelines Complete Long-Term Evaluation New 180 15 0 Form and Instruction 0920-0995 Att 24 STD Tx Guidelines Complete Long-Term Evaluation -Screenshot
Form 0920-0995 Att 23 STD Tx Guidelines Complete Long-Term Evaluation wordversion
STD Treatment Guidelines Complete Post -Course Evaluation New 548 55 0 Form and Instruction 0920-0995 Att 22 STD Tx Guidelines Complete LongTerm Evaluation - Screenshot
Form 0920-0995 Att 21 STD Tx Guidelines Complete Post-Course Evaluation wordversion
Short Guidelines Long-Term Evaluation New 160 8 0 Form and Instruction 0920-0995 Att 27 STD Tx Guidelines Short Long-Term Evaluation wordversion
Form and Instruction 0920-0995 Att 28 STD Tx Guidelines Short Long-Term Evaluation -Screenshot
Short Guidelines Post-Course Evaluation New 500 25 0 Form 0920-0995 Att 25 STD Tx Guidelines Short Post-Course Evaluation wordversion
Form and Instruction 0920-0995 Att 26 STD Tx Guidelines Short Post-Course Evaluation -Screenshot
Wet Mount Long-Term Evaluation New 15 1 0 Form and Instruction 0920-0995 Att 19 Wet Mount Long-Term wordversion
Form 0920-0995 Att 20 Wet Mount Long Term Evaluation -Screenshot
wet Mount Posst-Course Evaluation New 40 2 0 Form and Instruction 0920-0995 Att 17 Wet Mount Post-Course Evaluation wordversion
Form 0920-0995 Att 18 Wet Mount Post-Course Evaluation -Screenshot
Total burden requested under this ICR: 7152 423 0  
To view an IC, click on IC Title