Information Collection

Nurse Corps Evaluation: In-Depth Interview Guide

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Nurse Corps Evaluation: In-Depth Interview Guide	Form and Instruction
Form 1 Nurse Corps Evaluation: In-Depth Interview Guide Nurse Corps Evaluation: In-Depth Interview Guide	Form and Instruction
Form 2 HRSA Nurse Corps Supplemental Funding Evaluation In-Depth Interview Recruitment and Scheduling Emails 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1				Yes	No	Fillable Fileable
Form and Instruction	2				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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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