Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
3 Month Long-Term Email Invitation Unchanged 660 11 0 Instruction
Other-screenshot
Basic Long-Term Evaluation Removed 0 0 0 Form and Instruction 0920-0995 Basic Long Term Evaluation
Form 0920-0995 Basic Long Term Evaluation screenshot
Basic Post Course Evaluation Removed 0 0 0 Form and Instruction 0920-0995 Basic Post Course Evaluation
Form 0920-0995 Basic Post Course Evaluation screenshot
Immediate Post-Course Email Invitation Unchanged 4500 75 0 Instruction
Other-screenshot
Intensive Complete Long-Term Evaluation Removed 0 0 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 Removed 0 0 0 Form and Instruction 0920-0995 Intensive Complete Post-Course Evaluation wordversion
Form 0920-0995 Intensive Complete Post-Course Evaluation -Screenshot
Intensive Long-Term Evaluation New 120 12 0 Form and Instruction None Intensive Long-Term Evaluation
Intensive Post-Course Evaluation New 300 50 0 Form and Instruction None Intensive Post-Course Evaluation
Intensive-Didactic Long-Term Evaluation Removed 0 0 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 Removed 0 0 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 None NNPTC Abbreviated Health Professional Application for Training
Practicum Long-Term Evaluation Removed 0 0 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 Removed 0 0 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 Removed 0 0 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 Removed 0 0 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 Removed 0 0 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 Removed 0 0 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
Standard Long-Term Evaluation New 400 20 0 Form and Instruction None Standard Long-Term Evaluation
Standard Post-Course Evaluation New 1200 60 0 Form and Instruction None Standard Post-Course Evaluation
Wet Mount Long-Term Evaluation Removed 0 0 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 Removed 0 0 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: 11680 453 0  
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