2 DATA CoIIN_Post-Stakeholder Webinar Evaluation Survey.pd

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

DATA CoIIN_Stakeholder Webinar Evaluation Survey

Data and Technical Assistance (DATA) Task Order to Support the Infant Mortality CoIIN

OMB: 0915-0212

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An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number. The
OMB control number for this project is 0915-xxxx. Public reporting burden for this
collection of information is estimated to average xx hours per response, including the
time for reviewing instructions, searching existing data sources, and completing and
reviewing the collection of information. Send comments regarding this burden estimate
or any other aspect of this collection of information, including suggestions for reducing
this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N-39,
Rockville, Maryland, 20857.

OMB Number (0915-XXXX) Expiration Date (XX/XX/201X)

OMB Number (0915-XXXX) Expiration Date (XX/XX/201X)

Would you like time during our next meeting to highlight your work? If so, please
contact [email protected].
Thank you for your time and participation!

OMB Number (0915-XXXX) Expiration Date (XX/XX/201X)


File Typeapplication/pdf
File TitlePublic Burden Statement
AuthorJodi.Duckhorn
File Modified2018-03-07
File Created2018-03-07

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