Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study

OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]

OMB: 0970-0462

IC ID: 235780

Information Collection (IC) Details

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Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 18_HPOG2.0 Intermediate Follow-up Survey_REV June 2020_Masked.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,138 0
   
Individuals or Households
 
   0 %

  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 0 0 -379 0 0 379
Annual IC Time Burden (Hours) 0 0 -349 0 0 349
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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