Information Collection

NHSC Virtual Job Fair Customer Feedback

IC 227253 under ICR 201502-0915-002 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NHSC Virtual Job Fair Customer Feedback	Form and Instruction
1 NHSC Virtual Job Fair SITES Feedback Questions.docx NHSC Virtual Job Fair SITES Feedback Questions.docx	Form and Instruction
2 NHSC Virtual Job Fair PARTICIPANTS Feedback Questions.do NHSC Virtual Job Fair PARTICIPANTS Feedback Questions.docx	Form and Instruction
3 NHSC Virtual Job Fair SITES Follow Up Feedback Questions NHSC Virtual Job Fair SITES Follow Up Feedback Questions.docx	Form and Instruction
4 NHSC Virtual Job Fair PARTICIPANTS Follow Up Feedback Qu NHSC Virtual Job Fair PARTICIPANTS Follow Up Feedback Questions.docx	Form and Instruction
OMB Supporting Statement VJF.DOCX Supporting Statment	IC Document

IC Title:

NHSC Virtual Job Fair Customer Feedback

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NHSC Virtual Job Fair SITES Feedback Questions.docx	NHSC Virtual Job Fair SITES Feedback Questions.docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	NHSC Virtual Job Fair PARTICIPANTS Feedback Questions.docx	NHSC Virtual Job Fair PARTICIPANTS Feedback Questions.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3	NHSC Virtual Job Fair SITES Follow Up Feedback Questions.docx	NHSC Virtual Job Fair SITES Follow Up Feedback Questions.docx	Yes	Yes	Fillable Fileable
Form and Instruction	4	NHSC Virtual Job Fair PARTICIPANTS Follow Up Feedback Questions.docx	NHSC Virtual Job Fair PARTICIPANTS Follow Up Feedback Questions.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statment	OMB Supporting Statement VJF.DOCX	06/21/2017

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