2 ANEW Table 2

Advanced Education Nursing Traineeship (AENT) Program Specific Data Collection Forms for Use with the New Advanced Nursing Education Workforce (ANEW) Program

ANEW OMB Renewal - Table 2

AENT Program Forms

OMB: 0915-0375

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Table 2:  Projected Master’s and/or Doctoral and Post Masters Certificate Data


TRAINEESHIP DATA

NURSE PRACTITIONER

CLINICAL NURSE SPECIALIST

NURSE-MIDWIFE

CERTIFIED REGISTERED NURSE ANESTHETIST

FT

PT

FT

PT

FT

PT

FT

PT

Total # of Master’s Degree Students Projected to Receive Traineeship – Support in Budget Year 1










Total # of Master’s Degree Students Projected to Receive Traineeship – Support in Budget Year 2











Total # of Master’s Degree Students Projected to Receive Traineeship – Support in Budget Year 3









Total # of Master’s Degree Students Projected to Receive Traineeship – Support in Budget Year 4









Total # of Doctoral Degree Students Projected to Receive Traineeship – Support in Budget Year 1









Total # of Doctoral Degree Students Projected to Receive Traineeship – Support in Budget Year 2









Total # of Doctoral Degree Students Projected to Receive Traineeship – Support in Budget Year 3









Total # of Doctoral Degree Students Projected to Receive Traineeship – Support in Budget Year 4









Total # Post-Master’s Certificate Students Projected to Receive Traineeship – Support in Budget Year 1









Total # Post-Master’s Certificate Students Projected to Receive Traineeship – Support in Budget Year 2









Total # Post-Master’s Certificate Students Projected to Receive Traineeship – Support in Budget Year 3









Total # Post-Master’s Certificate Students Projected to Receive Traineeship – Support in Budget Year 4












Instructions for Completing ANEW Table 2: Projected Master’s and/or Doctoral Degrees and Post Masters Certificate Data


  • Enter the total number of Master’s and Doctoral Degree and Post-Master’s Certificate students projected to receive traineeship support in Budget Years 1 (July 1, 201X to June 30, 201X), 2, 3, and 4 as appropriate by their enrollment status (FT or PT) and their specialty role.

  • If the ANEW FOA is a two-year funding opportunity, please indicate “N/A” for Budget Years 3 and 4.



HRSA-17-067 OMB ANEW Program Specific Data Forms Package.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleANEW OMB Renewal - Table 2
AuthorJanice Young
File Modified0000-00-00
File Created2021-01-23

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