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Title V Information System (TVIS) User Satisfaction Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 247059
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202308-0915-005
IC 247059
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Title V Information System (TVIS) User Satisfaction Survey
Form and Instruction
1 Screen Shots of Title V Information System Survey 2021
Screen Shots of Title V Information System Survey 2021.docx
Form and Instruction
TVIS Customer Satisfaction - Supporting Statement 03092021.docx
TVIS Customer Satisfaction - Supporting Statement
IC Document
Information Collection (IC) Details
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