Information Collection Request

Evaluation of Programs Supporting the Mental Health of the Health Professions Workforce

ICR 202401-0906-002 · OMB 0906-0080 · Active

Forms and Documents

Document	Type	Status	Availability
Form 1 Healthcare Workforce Survey	Form and Instruction	New	Available
Form 4 Awardee Training and Services Report	Form and Instruction	New	Repair queued
Form 3 The Workforce Program Awardee Cost Workbook	Form and Instruction	New	Available
Form 3 The Training Program Awardee Cost Workbook	Form and Instruction	New	Available
Form 2 Awardee Survey about the Technical Assistance Center	Form and Instruction	New	Repair queued
Form 1A The Healthcare Workforce Fielding Tracker	Form and Instruction	New	Repair queued
Form 1 The Training Program Comparison Group Survey	Form and Instruction	New	Repair queued
Form 1 The Training Program Comparison Group Screener	Form and Instruction	New	Available
Evaluation of Programs Supporting MH of HPW - Supporting Statement B 12192023.docx	Supporting Statement B	Uploaded 2023-12-22	Repair queued
6(A-B). The Workforce Program Org Assessment Interview Guide Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Repair queued
5(A-B). The Training Program Awardee Interview Invite and Reminders_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Available
4(A-C). Awardee Training and Services Report Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Repair queued
3(A-D). Cost-Benefit Workbook Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Repair queued
2(A-H). Awardee Survey about TAC Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Repair queued
1(K-P). The Training Program Comparison Group Survey Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Available
1(B-J). Healthcare Workforce Survey Respondent Contact Materials_6.5.23.docx	Supplementary Document	Uploaded 2023-09-08	Available
Evaluation of Programs Supporting MH of HPW - Supporting Statement A 12192023.docx	Supporting Statement A	Uploaded 2023-12-22	Available

IC Document Collections

IC ID	Collection	Type	Status
264049	Healthcare Workforce Survey	Form and Instruction	New
262100	The Workforce Program Organizational Assessment Interview Protocol	Other-Virtual Interview Guide	New
262099	The Training Program Awardee Interview Guide	Other-Virtual Interview Guide	New
262098	Awardee Training and Services Report	Form and Instruction	New
262097	The Workforce Program Awardee Cost Workbook	Form and Instruction	New
262096	The Training Program Awardee Cost Workbook	Form and Instruction	New
262095	Awardee Survey about the Technical Assistance Center	Form and Instruction	New
262094	The Healthcare Workforce Fielding Tracker	Form and Instruction	New
262092	The Training Program Comparison Group Survey	Form and Instruction	New
262091	The Training Program Comparison Group Screener	Form and Instruction	New

ICR Details

Status	Active
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0080
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	2024-01-04
Requested Expiration Date	1969-12-31