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HRSA Web Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 264362
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202402-0906-004
IC 264362
( )
⚠️ Notice: This information collection may be referencing outdated material.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
HRSA Web Survey
Form
1 English Language Survey
hrsa-approved-survey-questions-final_ENG.docx
Form
2 Spanish Language Survey
hrsa-approved-survey-questions-final_ES.docx
Form
fast-track-hrsa-web-survey-20230817 Final.docx
Original Generic IC Request
IC Document
Information Collection (IC) Details
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