Information Collection

Nurse Corps Evaluation: In-Depth Interview Guide

IC 262065 under ICR 202309-0915-001 · OMB 0915-0393.

Documents and Forms

Document Name Document Type
Form 1 Nurse Corps Evaluation: In-Depth Interview Guide Form and Instruction
1 Nurse Corps Evaluation: In-Depth Interview Guide Nurse Corps Participant and Alumni In-depth Interview Guide.docx Form and Instruction
1 Nurse Corps Evaluation: In-Depth Interview Guide Nurse Corps Participant and Alumni In-depth Interview Guide.docx Form and Instruction
2 HRSA Nurse Corps Supplemental Funding Evaluation In-Dept Outreach Materials for In-depth Interviews.docx Form and Instruction
2 HRSA Nurse Corps Supplemental Funding Evaluation In-Dept Outreach Materials for In-depth Interviews.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nurse Corps Evaluation: In-Depth Interview Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Nurse Corps Evaluation: In-Depth Interview Guide	Nurse Corps Participant and Alumni In-depth Interview Guide.docx		Yes	No	Fillable Fileable
Form and Instruction	2	HRSA Nurse Corps Supplemental Funding Evaluation In-Depth Interview Recruitment and Scheduling Emails	Outreach Materials for In-depth Interviews.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.