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Health Center Program Support Customer Service Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 264347
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202402-0906-004
IC 264347
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0084 can be found here:
2024-06-28 - No material or nonsubstantive change to a currently approved collection
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
Information Collection (IC) Details
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