HPOG-Impact 15-month Control Group Member Follow-Up survey

Health Profession Opportunity Grants (HPOG) program

OMB: 0970-0394

IC ID: 206800

Documents and Forms
Information Collection (IC) Details

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HPOG-Impact 15-month Control Group Member Follow-Up survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey HPOG Appendix J HPOG-Impact 15-Month Partic Follow-Up Survey Control.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,400 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 1,400 0 1,400 0 0 0
Annual IC Time Burden (Hours) 840 0 840 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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