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HRSA Division of Transplantation (DoT) Formative Evaluation Minority Organ Donation Outreach (Online Focus Groups)
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 259013
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202401-0915-001
IC 259013
( )
⚠️ Notice: This information collection may be referencing outdated material.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
HRSA Division of Transplantation (DoT) Formative Evaluation Minority Organ Donation Outreach (Online Focus Groups)
Form and Instruction
Form 1
HRSA Division of Transplantation (DoT) Formative Evaluation Minority Organ Donation Outreach (Online Focus Groups)
Form and Instruction
1 Focus Group Moderators Guide
Focus Group Guide.docx
Form and Instruction
3 Informed Consent
Informed Consent.docx
Form and Instruction
2 Screening Questions
Screening Questions.docx
Form and Instruction
05092023 - Fast Track Memo - Generic Clearance - OMB 0915-0212 - 020620235007.docx
Fast Track Memo
IC Document
Information Collection (IC) Details
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