Information Collection Request

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 202402-0990-005 · OMB 0990-0379 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 National Hypertension Control Initiative (NHCI) Community Health Center Assessment Form and Instruction Unchanged Available
Form 1 National Hypertension Control Initiative (NHCI) Community Health Center Assessment Form and Instruction Unchanged Repair queued
HHS Survery Change_Memo_Feb 2024.pdf Justification for No Material/Nonsubstantive Change Uploaded 2024-02-21 Available
HHS Survery Change_Memo_Feb 2024.pdf Justification for No Material/Nonsubstantive Change Uploaded 2024-02-21 Repair queued
HHS.gov Slider Survey UPDATES_2.1.2024.pdf Supplementary Document Uploaded 2024-02-21 Available
HHS.gov Slider Survey UPDATES_2.1.2024.pdf Supplementary Document Uploaded 2024-02-21 Repair queued
HHS.gov Slider Survey CURRENT Version_1.2.24.pdf Supplementary Document Uploaded 2024-02-21 Available
HHS.gov Slider Survey CURRENT Version_1.2.24.pdf Supplementary Document Uploaded 2024-02-21 Repair queued
Intranet Survey.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-06-17 Available
Intranet Survey.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-06-17 Repair queued
0990-0379 Change Request_DKC.doc Justification for No Material/Nonsubstantive Change Uploaded 2015-03-03 Available
0990-0379 Change Request_DKC.doc Justification for No Material/Nonsubstantive Change Uploaded 2015-03-03 Repair queued
0990-0379_B.docx Supporting Statement B Uploaded 2014-07-02 Available
0990-0379_B.docx Supporting Statement B Uploaded 2014-07-02 Repair queued
0990-0379_Father Generic 10_5_23 (3).docx Supporting Statement A Uploaded 2023-10-11 Available
0990-0379_Father Generic 10_5_23 (3).docx Supporting Statement A Uploaded 2023-10-11 Missing upstream
Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-06-14 Available
Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-06-14 Repair queued

ICR Details

Record metadata
Active
HHS/HHSDM
0990-0379
No material or nonsubstantive change to a currently approved collection
202307-0990-003
2024-02-28
1969-12-31