OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIV Clinician Survey

IC 200545 under ICR 201112-0915-006 · OMB 0915-0349.

Documents and Forms
Document Name
Document Type
Instruction
Other-Web_Demo
Other-Study Design Report
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

HIV Clinician Survey
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Study Design Report Study_Design_Report.pdf Yes No Printable Only
Instruction Info_Brochure_Clinician_Survey.pdf Yes No Printable Only
Form and Instruction 2 Pretest Pretest-Version-Questionnaire_Clinician-Survey.pdf Yes Yes Fillable Fileable
Other-Web_Demo Web_Example.pdf Yes No Printable Only
Form and Instruction 1 Clinician survey HIV Clinician Workforce Study - Final Design Report (To HRSA).docx Yes Yes Fillable Fileable

Health Health Care Services

 

3,500 0
   
Individuals or Households
 
   0 %

  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 3,500 0 3,500 0 0 0
Annual IC Time Burden (Hours) 1,155 0 1,155 0 0 0
Annual IC Cost Burden (Dollars) 96,546 0 96,546 0 0 0

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.