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

ICR 202306-0915-006

OMB: 0915-0379

Federal Form Document

Forms and Documents

Document Name	Status
Form 2 HRSA Health Center Workforce Survey: Pilot Survey Form and Instruction	New
Form 1 ealth Center Workforce Survey Evaluation and Technical Assistance: Pilot Survey Form	New
Form 1 HRSA Health Center Workforce Survey: Cognitive Interviews Form	New
Supporting Statement A Revision_clean.docx Supporting Statement A	2023-06-29
Supporting Statement B Revision_clean.docx Supporting Statement B	2023-06-29

IC Document Collections

IC ID	Document Title	Status
260923	PRA Questions for CEN Groups Instruction	New
260922	Organ Procurement and Transplantation Network (OPTN) Stakeholder Focus Groups Instruction	New
260921	HRSA Health Center Workforce Survey: Pilot Survey Form and Instruction	New
260920	ealth Center Workforce Survey Evaluation and Technical Assistance: Pilot Survey Form	New
260919	HRSA Health Center Workforce Survey: Cognitive Interviews Form	New
260918	Health Center Workforce Survey: Listening Sessions Other-Slide Deck	New
260917	Usability Testing for HRSA.gov website properties Instruction	New
260916	Interviews with National Hypertension Control Initiative (NHCI) Group 2 Participants Instruction	New