Information Collection Request

HRSA Grantee Satisfaction

ICR 202402-0906-001 · OMB 0906-0006 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 HRSA Grantee Satisfaction Survey Form and Instruction New Available
Form 1 HRSA Grantee Satisfaction Form and Instruction New Repair queued
Form 1 HRSA Grantee Satisfaction Survey Form and Instruction Modified Available
Form 1 HRSA Grantee Satisfaction Form and Instruction Modified Repair queued
Appendix A_2024 GSS Communication Templates.docx Supplementary Document Uploaded 2024-02-09 Repair queued
Revised Supporting Statement B 0906-0006 v2- FINAL.docx Supporting Statement B Uploaded 2024-02-09 Repair queued
Revised Supporting Statement A 0906-0006 v2 FINAL.docx Supporting Statement A Uploaded 2024-02-09 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
265088 HRSA Grantee Satisfaction Form and Instruction NewHRSA Grantee Satisfaction Survey
265088 HRSA Grantee Satisfaction Form and Instruction New
214691 HRSA Grantee Satisfaction Form and Instruction ModifiedHRSA Grantee Satisfaction Survey
214691 HRSA Grantee Satisfaction Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 36 Months From Approved
2,500 0 0
850 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
HRSA Grantee Satisfaction 1
HRSA Grantee Satisfaction 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500 0 0 375 2,125 0
Annual Time Burden (Hours) 850 0 0 127 723 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No