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The Training Program Awardee Interview Guide
Evaluation of Programs Supporting the Mental Health of the Health Professions Workforce
OMB: 0915-0396
IC ID: 262099
OMB.report
HHS/HSA
OMB 0915-0396
ICR 202309-0915-002
IC 262099
( )
Documents and Forms
Document Name
Document Type
5. The Training Program Awardee Interview Guide_6.5.23_clean.docx
Other-Virtual Interview Guide
5. The Training Program Awardee Interview Guide_6.5.23_clean.docx
Other-Virtual Interview Guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
The Training Program Awardee 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
Other-Virtual Interview Guide
5. The Training Program Awardee Interview Guide_6.5.23_clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 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
44
0
44
0
0
0
Annual IC Time Burden (Hours)
66
0
66
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.