OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Bureau of Health Workforce Substance Use Disorder Evaluation

IC 241617 under ICR 202004-0906-002 · OMB 0906-0054.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Bureau of Health Workforce Substance Use Disorder Evaluation
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction B2 Attachment B2 - NHSC LRP Site Survey_FINAL 04.08.20.docx Attachment B2 - NHSC LRP Site Survey_FINAL 04.08.20.docx Yes Yes Fillable Fileable
Form and Instruction B1 Attachment B1 - NHSC LRP Participant Survey_FINAL 04.08.20.docx Attachment B1 - NHSC LRP Participant Survey_FINAL 04.08.20.docx Yes Yes Fillable Fileable
Form and Instruction B5 Attachment B5 - Grantee Site Survey_FINAL 04.08.20.docx Attachment B5 - Grantee Site Survey_FINAL 04.08.20.docx Yes Yes Fillable Fileable
Form and Instruction B6 Attachment B6 - Grantee Organization Survey_FINAL 04.08.20.docx Attachment B6 - Grantee Organization Survey_FINAL 04.08.20.docx Yes Yes Fillable Fileable
Form and Instruction B3 Attachment B3 - Grantee Trainee Survey -- NORC response CLEAN.docx BHW - Attachment B3 - Grantee Trainee Survey -- NORC response CLEAN.docx Yes Yes Fillable Fileable
Form and Instruction B4 Attachment B4 - Grantee Alumni Survey -- NORC response.docx BHW - Attachment B4 - Grantee Alumni Survey -- NORC response.docx Yes Yes Fillable Fileable

Health Health Care Services

 

41,300 0
   
Private Sector Not-for-profit institutions
 
   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 41,300 0 41,300 0 0 0
Annual IC Time Burden (Hours) 13,289 0 13,289 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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