HRSA Web Survey for Bureau of Health Workforce (BHW) program participants

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0990-0379

IC ID: 240556

Documents and Forms
Document Name
Document Type
Other-Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HRSA Web Survey for Bureau of Health Workforce (BHW) program participants
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey bhwth-portal-survey-questions.docx No   Paper Only

Health Health Care Services

 

5,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 5,000 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo fast-track-PRA-submission-bhwth-r1.docx 03/10/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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