Information Collection

HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey

IC 220173 under ICR 201503-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379VoCquestions_FINAL.docx	Other-questions
0990-0379 fast-track-PRA-submission-NHSC-01252016.doc HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey	IC Document

IC Title:

HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questions			0990-0379VoCquestions_FINAL.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

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	3,600	3,600
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey	0990-0379 fast-track-PRA-submission-NHSC-01252016.doc	02/18/2016

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