DIR Objective Review Assessment Survey

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

OMB: 0906-0084

IC ID: 265672

Documents and Forms

Document Name Document Type
02262024 DIR Review Assessment Survey form 1 - screenshot Reviewer instr.pdf Instruction
1 Questions 1-5 02262024 FORM CHAIR Q 1-5.pdf Form and Instruction
2 Reviewer Evaluation Form 02262024 FORM Reviewer Evaluation Q 1- 15.pdf Form and Instruction
3 Reviewer Evaluation Field Review 02262024 FORM Reviewer Evaluation-Field Review Q 1 - 12.pdf Form and Instruction
1A Chair Reviewer Evaluation Q1-2 Chair Reviewer Evaluation Review Q1-2.PNG Form and Instruction
1B Chair Reviewer Evaluation Review Form Q3-4 Chair Reviewer Evaluation Review Q3-4.PNG Form and Instruction
1C Chair Reviewer Evaluation Review Q5 Chair Reviewer Evaluation Review Q5.PNG Form and Instruction
2A Reviewer Evaluation- Field Review Q1-2 Reviewer Evaluation-Field Review Q1-2.PNG Form and Instruction
2B Reviewer Evaluation- Field Review Q3-4 Reviewer Evaluation-Field Review Q3-4.PNG Form and Instruction
2C Reviewer Evaluation- Field Review Q5-6 Reviewer Evaluation-Field Review Q5-6.PNG Form and Instruction
2D Reviewer Evaluation- Field Review Q7-8 Reviewer Evaluation-Q7-8.PNG Form and Instruction
2E Reviewer Evaluation- Field Review Q9-10 Reviewer Evaluation-Field Review Q9-10.PNG Form and Instruction
2F Reviewer Evaluation- Field Review Q11-12 Reviewer Evaluation-Field Review Q11-12.PNG Form and Instruction
3A Reviewer Evaluation Q1-2 Reviewer Evaluation-Q1-2.PNG Form and Instruction
3B Reviewer Evaluation- Field Review Q3-4 Reviewer Evaluation-Q3-4.PNG Form and Instruction
3C Reviewer Evaluation- Field Review Q5-6 Reviewer Evaluation-Q5-6.PNG Form and Instruction
3E Reviewer Evaluation Q9-10 Reviewer Evaluation-Q9-10.PNG Form and Instruction
3D Reviewer Evaluation- Field Review Q7-8 Reviewer Evaluation-Field Review Q7-8.PNG Form and Instruction
3F Reviewer Evaluation- Field Review Q11-12 Reviewer Evaluation-Q11-12.PNG Form and Instruction
3G Reviewer Evaluation- Field Review Q13-14 Reviewer Evaluation-Q13-14.PNG Form and Instruction
3H Reviewer Evaluation- Field Review Q15 Reviewer Evaluation-Q15.PNG Form and Instruction
DIR Objective Review Assessment Survey New 3.4.24.docx DIR Objective Survey Review IC Document