HRSA Survey Assessment of Objective Peer Review

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

OMB: 0915-0212

IC ID: 217944

Information Collection (IC) Details

View Information Collection (IC)

HRSA Survey Assessment of Objective Peer Review
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Reviewer Survey DIR Screen Shots Reviewer Survey Form 1.docx Yes Yes Fillable Fileable
Form 2 Chair Survey DIR Screen Shots Chair Survey Form 2.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,158 0
   
Individuals or Households
 
   100 %

  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 2,158 0 2,158 0 0 0
Annual IC Time Burden (Hours) 540 0 540 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DIR Supporting Statement DIR Supporting Statement.docx 08/20/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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