Work Force Recruitment in BPHC-Funded Health Centers Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0353 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Work Force Recruitment in BPHC-Funded Health Centers Survey Form and Instruction
1 HC Workforce Recruitment Screenshots of HC Work Force Recruitment Survey_Fi (7.26.12).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Work Force Recruitment in BPHC-Funded Health Centers Survey	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
Form and Instruction	1	HC Workforce Recruitment	Screenshots of HC Work Force Recruitment Survey_Fi (7.26.12).doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	600	600
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.