Information Collection Request

Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)

ICR 202306-0915-006 · OMB 0915-0379 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 HRSA Health Center Workforce Survey: Pilot Survey Form and Instruction New Missing upstream
Form 1 ealth Center Workforce Survey Evaluation and Technical Assistance: Pilot Survey Form New Repair queued
Form 1 HRSA Health Center Workforce Survey: Cognitive Interviews Form New Repair queued
Supporting Statement A Revision_clean.docx Supporting Statement A Uploaded 2023-06-29 Repair queued
Supporting Statement B Revision_clean.docx Supporting Statement B Uploaded 2023-06-29 Repair queued

ICR Details

Record metadata
Received in OIRA
HHS/HSA
0915-0379
Revision of a currently approved collection
202004-0915-007
21433
1969-12-31
1969-12-31