Awardee Recruitment

Health Center Patient Survey (HCPS_

OMB: 0915-0368

IC ID: 239084

Information Collection (IC) Details

View Information Collection (IC)

Awardee Recruitment
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Attachment10 National_Awardee and Site Recruitment Materials_final 10_29_2019_psg.docx Attachment10 National_Awardee and Site Recruitment Materials_final 10_29_2019_psg.docx Yes Yes Fillable Fileable

Health Health Care Services

 

220 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 220 0 0 0 0 220
Annual IC Time Burden (Hours) 440 0 0 0 0 440
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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