Health Center Program Support Customer Service Survey

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

OMB: 0915-0212

IC ID: 264347

Documents and Forms

Document Name Document Type
Form 1 Health Center Program Support Customer Service Survey Form and Instruction
1 EHBs Customer Support Center Survey Screenshot EHBs Customer Support Center Survey Screenshot.docx Form and Instruction
HRSA EHBs Survey Supporting Statement draft 020221.docx Original Generic IC Request IC Document