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Health Center Program Support (HCPS) Customer Service Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 248514
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202401-0915-001
IC 248514
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Health Center Program Support (HCPS) Customer Service Survey
Form
Form 1
Health Center Program Support (HCPS) Customer Service Survey
Form
1 HCPS - 2021 Sample Customer Service Survey--Salesforce In Sandbox.docx
HCPS - 2021 Sample Customer Service Survey--Salesforce In Sandbox.docx
Form
GENERIC - Supporting Statement_BPHC Customer Service Survey-HCPS 2021.docx
GENERIC - Supporting Statement_BPHC Customer Service Survey-HCPS 2021
IC Document
Information Collection (IC) Details
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