Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
3 Month Long-Term Email Invitation Modified 660 11 0 Instruction
Other-screenshot
Basic Long-Term Evaluation Modified 50 2 0 Form and Instruction 0920-0995 Basic Long Term Evaluation
Form 0920-0995 Basic Long Term Evaluation screenshot
Basic Post Course Evaluation New 150 5 0 Form and Instruction 0920-0995 Basic Post Course Evaluation
Form 0920-0995 Basic Post Course Evaluation screenshot
Immediate Post-Course Email Invitation Modified 4500 75 0 Instruction
Other-screenshot
Intensive Complete Long-Term Evaluation Modified 36 6 0 Form and Instruction 0920-0995 Intensive Complete Long-Term Evaluation wordversion
Form 0920-0995 Intensive Complete Long-Term Evaluation -Screenshot
Intensive Complete Post-Couse Evaluation Modified 116 31 0 Form and Instruction 0920-0995 Intensive Complete Post-Course Evaluation wordversion
Form 0920-0995 Intensive Complete Post-Course Evaluation -Screenshot
Intensive-Didactic Long-Term Evaluation Modified 58 7 0 Form and Instruction 0920-0995 Intensive Didactic Long-Term Evaluation wordversion
Form 0920-0995 Intensive Didactic Long-Term Evaluation -Screenshot
Intensive-Didactic Post Course Evaluation Modified 166 28 0 Form and Instruction 0920-0995 Intensive Didactic Post-Course Evaluation wordversion
Form 0920-0995 Intensive Didactic Post-Course Evaluation – Screenshot
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT) Modified 4500 225 0 Form and Instruction 0920-0995 NNPTC Abbreviated HPAT wordversion
Form and Instruction 0920-0995 Abbreiviated HPAT Screenshot
Practicum Long-Term Evaluation Modified 20 1 0 Form and Instruction 0920-0995 Practicum Long-Term Evaluation wordversion
Form 0920-0995 Practicum 3-month Long-Term Evaluation -Screenshot
Practicum Post-Course Evaluation Modified 70 5 0 Form and Instruction 0920-0995 Practicum Post-Course Evaluation wordversion
Form 0920-0995 Practicum Post-Course Evaluation -Screenshot
STD Treatment Guidelines Complete Long-Term Evaluation Modified 180 15 0 Form and Instruction 0920-0995 STD Tx Guidelines Complete Long-Term Evaluation
Form 0920-0995 STD Tx Guidelines Complete Long-Term Evaluation screenshot
STD Treatment Guidelines Complete Post -Course Evaluation Modified 548 55 0 Form and Instruction 0920-0995 STD Tx Guidelines Complete Post-course Evaluation
Form 0920-0995 STD Tx Guidelines Complete Post-Course Evaluation screenshot
Short Guidelines Long-Term Evaluation Modified 160 8 0 Form and Instruction 0920-0995 STD Tx Guidelines Short Long-Term Evaluation wordversion
Form 0920-0995 STD Tx Guidelines Short Long-Term Evaluation -Screenshot
Short Guidelines Post-Course Evaluation Modified 500 25 0 Form and Instruction 0920-0995 STD Tx Guidelines Short Post-Course Evaluation wordversion
Form 0920-0995 STD Tx Guidelines Short Post-Course Evaluation -Screenshot
Wet Mount Long-Term Evaluation Modified 15 1 0 Form and Instruction 0920-0995 Wet Mount Long-Term wordversion
Form 0920-0995 Wet Mount Long Term Evaluation -Screenshot
Wet Mount Post-Course Evaluation Modified 40 2 0 Form and Instruction 0920-0995 Wet Mount Post-Course Evaluation wordversion
Form 0920-0995 Wet Mount Post-Course Evaluation -Screenshot
Total burden requested under this ICR: 11769 502 0  
To view an IC, click on IC Title