Information Collection Request

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]

ICR 202112-0970-002 · OMB 0970-0462 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
OMB#0970-0462_NonSubstantive Change Request _December 2021_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-12-06 Repair queued
OMB#0970-0462_NonSubstantive Change Request _October 2021_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-10-14 Repair queued
Attachment AA_HPOG2.0_ParticipantNewsletter.docx Supplementary Document Uploaded 2021-05-19 Repair queued
Attachment N_Revised COVID-19 Short-Term Survey Email Reminder Text.docx Supplementary Document Uploaded 2021-05-19 Repair queued
Attachment M_Revised COVID-19 Cohort Short-term Survey Trying to Reach You Flyer.docx Supplementary Document Uploaded 2021-05-19 Repair queued
Attachment L_Revised COVID-19 Cohort Short-Term Survey Souces.docx Supplementary Document Uploaded 2021-05-19 Repair queued
Attachment K_Revised COVID-19 Cohort Short-Term Survey Advance Letter_clean.docx Supplementary Document Uploaded 2021-10-13 Repair queued
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B. National Evaluation Informed Consent Forms A_Lottery Required_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B3_Tribal Evaluation informed consent Form D Unique Identifiers_Verbal.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B2_Tribal Evaluation_informed consent Form C SSNs_Verbal.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B. National Evaluation Informed Consent Form C Lottery Required _Verbal_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment S_HPOG 2.0_Intermediate Follow-up Email Reminder_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment R_HPOG 2.0_Intermediate Follow-upSurvey_Flyer.docx Supplementary Document Uploaded 2019-04-18 Missing upstream
Attachment Q_HPOG 2.0 Intermediate Follow-up Survey Sources_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment P_HPOG 2.0_Intermediate Follow-up Survey Advance Letter_REV.docx Supplementary Document Uploaded 2020-06-24 Missing upstream
HPOG 2.0_CovidCohortSurvey_LT-Tracking SSB_NonsubstantiveChange_Rev2_clean.docx Supporting Statement B Uploaded 2021-10-13 Repair queued
HPOG 2 CovidCohortSurvey_LT-Tracking_SSA_Rev_passback 072721.docx Supporting Statement A Uploaded 2021-07-28 Repair queued

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2024 07/31/2024
7,298 7,298
2,977 2,977
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,298 7,298 0 0 0 0
Annual Time Burden (Hours) 2,977 2,977 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No