Organdonor.gov Website Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0915-0212

IC ID: 248953

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Organdonor.gov Website Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 HRSA DoT Organdonor.gov Website Survey Questionnaire.docx FORM HRSA DoT Organdonor.gov Website Survey Questionnaire.docx Yes Yes Fillable Fileable

Health Health Care Services

 

400 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 400 0 0 0 0 400
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SUPPORTING STATEMENT HRSA DoT Organdonor.gov Website SUPPORTING STATEMENT HRSA DoT Organdonor.gov Website CLEAN.docx 08/19/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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