HPOG-NIE Performance Measurement Semi-Structured Discussion Guide

Health Profession Opportunity Grants (HPOG) program

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Documents and Forms

Document Name Document Type
Appendix F HPOG NIE Semi-Structured Discussion Guide REVISED clean.docx Other-Discussion Guide

Information Collection (IC) Details

IC Title:	HPOG-NIE Performance Measurement Semi-Structured Discussion Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Guide			Appendix F HPOG NIE Semi-Structured Discussion Guide REVISED clean.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7	7
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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