End of Year Report

Hospital Preparedness Program Data Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0326 can be found here:

Documents and Forms

Document Name Document Type
0990-Hospital Preparedness ProgramCopy of 12_18 Cooperative Agreement Tool OMB Version.xls Instruction

Information Collection (IC) Details

IC Title:	End of Year Report	Agency IC Tracking Number:

Is this a Common Form? No		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
Instruction			0990-Hospital Preparedness ProgramCopy of 12_18 Cooperative Agreement Tool OMB Version.xls		No	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	992	992
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.