OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Expanding Health Center Awareness of Sexual Assault-Related Health Care Needs (SATA) Evaluation

IC 270921 under ICR 202503-0906-002 · OMB 0906-0084.

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

View Information Collection (IC)

Expanding Health Center Awareness of Sexual Assault-Related Health Care Needs (SATA) Evaluation
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Comprehensive Survey 2024-09-12_SATA_Comprehensive-Survey-and-Consent_Final.docx Yes Yes Fillable Fileable
Form and Instruction 2 Post-TA Activity Survey 2024-09-12_SATA_Post-TA-Activity-Survey-and-Consent_Final.docx Yes Yes Fillable Fileable
Form and Instruction 3 Qualitative Interview 2024-09-12_SATA_Qual-Interview-Guide-and-Consent_Final.docx Yes Yes Fillable Fileable

Health Health Care Services

 

582 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 582 0 0 0 0 582
Annual IC Time Burden (Hours) 104 0 0 0 0 104
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic IC Memo_SATA Evaluation 2024-09-12_SATA_OMB-Fast-Track-Memo.docx 09/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.