Information Collection Request

HRSA Grantee Satisfaction Survey

ICR 202405-0906-002 · OMB 0906-0006 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 HRSA Grantee Satisfaction Survey Supplemental Survey Form and Instruction New Available
Form 1 HRSA Grantee Satisfaction Survey Form and Instruction Unchanged Available
Form 1 HRSA Grantee Satisfaction Survey Form and Instruction Unchanged Available
NSCR Instruments 0906-0006 05062024 v2.docx Supplementary Document Uploaded 2024-05-07 Available
NSCR Memo 0906-0006 05062024_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-05-07 Available
Appendix A_2024 GSS Communication Templates.docx Supplementary Document Uploaded 2024-02-09 Available
Revised Supporting Statement B 0906-0006 v2- FINAL.docx Supporting Statement B Uploaded 2024-02-09 Available
Revised Supporting Statement A 0906-0006 v3 FINAL.docx Supporting Statement A Uploaded 2024-03-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
267484 HRSA Grantee Satisfaction Survey Supplemental Survey Form and Instruction NewHRSA Grantee Satisfaction Survey Supplemental Survey
265088 HRSA Grantee Satisfaction Form and Instruction UnchangedHRSA Grantee Satisfaction Survey
214691 HRSA Grantee Satisfaction Form and Instruction UnchangedHRSA Grantee Satisfaction Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 03/31/2027 03/31/2027
2,578 0 2,500
854 0 850
0 0 0





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3
table that charts list of burden
IC Title Form No. Form Name
HRSA Grantee Satisfaction 1
HRSA Grantee Satisfaction 1
HRSA Grantee Satisfaction Survey Supplemental Survey 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,578 2,500 0 78 0 0
Annual Time Burden (Hours) 854 850 0 4 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No