Information Collection Request
Rural Public Health Workforce Training Network Program (RPHWTN)
ICR 202305-0915-006 · OMB 0915-0392 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0392 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 4 Trainee Survey |
Form | New | Repair queued |
| Form 3 Grantee Exit Survey |
Form | New | Repair queued |
| Form 2 Grantee Follow-up Survey |
Form | New | Repair queued |
| Form 1 Grantee Baseline Survey |
Form | New | Repair queued |
 Supporting Statement A_RPHWNTP_Final 05082023.docx |
Supporting Statement A | Uploaded 2023-05-30 | Repair queued |
 Attachment6_M-21-20.pdf |
Supplementary Document | Uploaded 2023-05-30 | Repair queued |
| Attachment1_HRSA-22-117-RPHWTNP-NOFO.pdf |
Supplementary Document | Uploaded 2023-05-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 260417 |  Trainee Survey |
Form | New | |
| 260416 | Grantee Exit Survey |
Form | New | |
| 260415 | Grantee Follow-up Survey |
Form | New | |
| 260414 | Grantee Baseline Survey |
Form | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HSA |
| OMB Control No | 0915-0392 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |