Information Collection

The Healthcare Workforce Fielding Tracker

IC 262094 under ICR 202309-0915-002 · OMB 0915-0396.

Documents and Forms

Document Name Document Type
Form 1A The Healthcare Workforce Fielding Tracker Form and Instruction
1A Fielding Tracker 1A. The Healthcare Workforce Fielding Tracker_6.5.23_clean.xlsx Form and Instruction
1A Fielding Tracker 1A. The Healthcare Workforce Fielding Tracker_6.5.23_clean.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Healthcare Workforce Fielding Tracker	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	1A	Fielding Tracker	1A. The Healthcare Workforce Fielding Tracker_6.5.23_clean.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	44	44
Annual IC Time Burden (Hours)	176	176
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.