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

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

OMB: 0906-0084

IC ID: 267884

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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

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

Health Health Care Services

 

250 0
   
Individuals or Households
 
   100 %

  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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 58 0 0 0 0 58
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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