OMB
.report
Search
DIR Objective Review Assessment Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 247769
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202308-0915-005
IC 247769
( )
⚠️ Notice: This information collection may be referencing outdated material.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
DIR Review Assessment Survey form 1 - screenshot Reviewer instructions 3-8-2021.pdf
Instruction
1 Reviewer Evaluation Q 1- 15.pdf
FORM Reviewer Evaluation Q 1- 15.pdf
Form
1.2 Reviewer Evaluation-Field Review Q 1 - 12.pdf
FORM Reviewer Evaluation-Field Review Q 1 - 12.pdf
Form
2 FORM CHAIR Q 1-5.pdf
FORM CHAIR Q 1-5.pdf
Form and Instruction
Public Burden Statement Screenshot.pdf
Other-Public Burden Screenshot
Supporting Statement A - DIR Review Assessment Survey.docx
Supporting Statement A - DIR Review Assessment Survey
IC Document
Information Collection (IC) Details
© 2024 OMB.report |
Privacy Policy