Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan

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

OMB: 0906-0084

IC ID: 268809

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

View Information Collection (IC)

Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Questions HBV Interviews - Questions Guide.docx Yes Yes Fillable Fileable

Health Health Care Services

 

25 0
   
Private Sector Not-for-profit institutions
 
   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 25 0 0 0 0 25
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
BPHC Generic Memo_Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan BPHC-Generic Memo- HPV Interviews- 6.20.24.docx 06/20/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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