Professional Training and Information Questionnaire

ICR 200310-0915-002

OMB: 0915-0208

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
6436 Migrated
ICR Details
0915-0208 200310-0915-002
Historical Active 200207-0915-002
HHS/HSA
Professional Training and Information Questionnaire
Revision of a currently approved collection   No
Regular
Approved without change 12/08/2003
Retrieve Notice of Action (NOA) 10/22/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 12/31/2003
308 0 311
26 0 26
0 0 0

The Professional Training and Information Questionnaire will be used to collect information from the National Health Service Corps scholarship program's obligated scholars that will enable the Agency to provide service opportunities that correspond as closely as possible to the obligated scholars' needs and interests.

None
None


No

1
IC Title Form No. Form Name
Professional Training and Information Questionnaire HRSA-551, HRSA-552

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 308 311 0 -3 0 0
Annual Time Burden (Hours) 26 26 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/22/2003


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