Form Approved
OMB No. 0990-0379
Exp. Date 04/30/2021
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
HRSA BHW Site Admin Portal Website Survey
Extremely good
Somewhat good
Neither good nor bad
Somewhat bad
Extremely bad
More Helpful
Similarly Helpful
Less Helpful
Not Applicable
(Multi-Select Field)
Posting job opportunities
Posting training opportunities (clinical rotations, externships, etc.)
Searching for potential candidates
Editing a site profile
Adding or removing site POCs
Completing site applications or recertifications
Completing service requests (e.g., ISV, EVF, SSCR, Suspension)
Other - please specify (text box)
(Multi-Select Field)
Clinical Rotations
Externships
Internships
Residencies
Fellowships
Other - please specify (text box)
None
Open ended response (text box)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |