Health Center COVID-19 Vaccine Program (HCVP) After-Action Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Document Name Document Type
HCVP After Action Survey Questions 4 1 22.docx Instruction
HCVP After Action Survey Questions 4 1 22.docx Instruction
HCVP 0990-0379-memo-fast-track-hrsa updated 42022_revised.docx memo-fast-track IC Document
HCVP 0990-0379-memo-fast-track-hrsa updated 42022_revised.docx memo-fast-track IC Document

Information Collection (IC) Details

IC Title:	Health Center COVID-19 Vaccine Program (HCVP) After-Action Survey	Agency IC Tracking Number:

IC Status: Unchanged

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
Instruction			HCVP After Action Survey Questions 4 1 22.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,505	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,505	1,505
Annual IC Time Burden (Hours)	376	376
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo-fast-track	HCVP 0990-0379-memo-fast-track-hrsa updated 42022_revised.docx	04/29/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.