Listening Session Questions

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

OMB: 0915-0212

IC ID: 259969

Information Collection (IC) Details

View Information Collection (IC)

Listening Session Questions
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Listening Session Questions Listening Session Questions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

90 0
   
State, Local, and Tribal Governments
 
   0 %

  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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 90 0 0 0 0 90
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MCHB Listening Session Fast Track Memo Fast track memo_Listening Sessions.docx 05/01/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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