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HRSA Web Survey
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 266005
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202503-0906-002
IC 266005
( )
Documents and Forms
Document Name
Document Type
Form 1
HRSA Web Survey
Form
1 HRSA Web Survey
HRSA Website Survey (Clean Copy).docx
Form
2 HRSA Web Survey (Spanish Language)
hrsa-approved-survey-questions-final_ES (clean copy).docx
Form
HRSA Website Survey (Revised Tracked Changes).docx
HRSA Web Survey Redline
IC Document
fast-track-hrsa-web-survey-20240304 .docx
Fast Track Request
IC Document
hrsa-approved-survey-questions-final_ES (in track changes).docx
Revised Spanish Language Survey (Track Changes)
IC Document
Information Collection (IC) Details
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