Information Collection

HRSA/HIV & AIDS Bureau (HAB) Recipients Satisfaction Survey (RSS).

IC 267884 under ICR 202406-0906-005 · OMB 0906-0084.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0084 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 HRSA/HIV & AIDS Bureau (HAB) Recipients Satisfaction Survey (RSS).	Form and Instruction
Form 1 HRSA/HIV & AIDS Bureau (HAB) Recipients Satisfaction Survey (RSS).	Form and Instruction
1 HAB Recipients Satisfaction Survey 2024 HRSA HAB RSS 05162024.docx	Form and Instruction
1 HAB Recipients Satisfaction Survey 2024 HRSA HAB RSS 05162024.docx	Form and Instruction
OMB Fast track memo for 2024 HRSA HAB RSS.docx OMB Fast Track Memo	IC Document
OMB Fast track memo for 2024 HRSA HAB RSS.docx OMB Fast Track Memo	IC Document

IC Title:

HRSA/HIV & AIDS Bureau (HAB) Recipients Satisfaction Survey (RSS).

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	HAB Recipients Satisfaction Survey	2024 HRSA HAB RSS 05162024.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Fast Track Memo	OMB Fast track memo for 2024 HRSA HAB RSS.docx	05/28/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.