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Federal forms, ICRs, and supporting documents

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Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Followng Hurricane Maria Hospital Recovery Interview Wave 1

IC 254334 under ICR 202405-0693-005 · OMB 0693-0078.

Documents and Forms
Document Name
Document Type
Other-Interview Script
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HURRICANE MARIA RECOVERY OF CRITICAL SOCIAL FUNCTIONS PROJECT: HOSPITAL RECOVERY FOLLOWNG HURRICANE MARIA HOSPITAL RECOVERY INTERVIEW WAVE 1 ER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Script 0693-0078_Hospital Interview Wave 1 Script.docx No   Paper Only

Disaster Management Disaster Repair and Restore

 

15 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15 0 0 0 0 15
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement 0693-0078_Hospital Interview Wave 1 Supporting Statement.docx 06/22/2022
Recruitment 0693-0078_Hospital Interview Outreach Communication.docx 06/22/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.