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Hospital Preparedness Program (HPP) Impact Survey
The Hospital Preparedness Program
OMB: 0990-0391
IC ID: 228505
OMB.report
HHS/HHSDM
OMB 0990-0391
ICR 201504-0990-001
IC 228505
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0391 can be found here:
2018-08-03 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
HPP Impact Survey_Draft Questions_9 27 2017_v22.docx
Other-survey
Ex_0990-Generic_Memo Template_HPP Impact Survey_10 25 2017 (2).doc
memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Hospital Preparedness Program (HPP) Impact Survey
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-survey
HPP Impact Survey_Draft Questions_9 27 2017_v22.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
386
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
386
0
386
0
0
0
Annual IC Time Burden (Hours)
97
0
97
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
memo
Ex_0990-Generic_Memo Template_HPP Impact Survey_10 25 2017 (2).doc
10/25/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.