OMB control number

Bureau of Health Workforce (BHW) Substance Use Disorder (SUD) Evaluation

OMB 0906-0054 · HHS/HRSA.

OMB 0906-0054

The Bureau of Health Workforce is conducting a national evaluation of investments in the expansion of National Health Service Corps Loan Repayment Program sites and clinicians, and three educational and training grant programs including the grantees, grantee training sites and trainees. The surveys capture information that is not available through any administrative sources and are necessary to assess program impact and inform future strategic direction of program efforts.

The latest form for Bureau of Health Workforce (BHW) Substance Use Disorder (SUD) Evaluation expires 2023-07-31 and is listed under ICR 202004-0906-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form B2 Bureau of Health Workforce Substance Use Disorder Evaluation	Form and Instruction
Attachment A - 60 day FRN.pdf	Supplementary Document
Attachment C14 - Grantee Follow-up Phone Script_FINAL 04.08.20.docx	Supplementary Document
Attachment C13 - SMS Reminder_FINAL 04.08.20.docx	Supplementary Document
Attachment C12 - Reminder Letter - All Surveys_FINAL 04.08.20.docx	Supplementary Document
Attachment C11 - Reminder Email to Grantees about Contact Information_FINAL 04.08.20.docx	Supplementary Document
Attachment C10 - Survey Advertisement Text_FINAL 04.08.20.docx	Supplementary Document
Attachment C9 - Reminder Email from HRSA to NHSC Participants and Sites_FINAL 04.08.20.docx	Supplementary Document
Attachment C8 - Reminder Email from HRSA to Grantees_FINAL 04.08.20.docx	Supplementary Document
Attachment C7 - Reminder Email from Grantees_FINAL 04.08.20.docx	Supplementary Document
Attachment C6 - Reminder Email - All Surveys_FINAL 04.08.20.docx	Supplementary Document
Attachment C5 - Introductory Email Template_All Surveys_FINAL 04.08.20.docx	Supplementary Document
Attachment C4 - Contact Information Request Template_FINAL 04.08.20.xlsx	Supplementary Document
Attachment C3 - Introductory Email from Grantees_FINAL 04.08.20.docx	Supplementary Document
Attachment C2 - Contact Information Request Email_FINAL 04.08.20.docx	Supplementary Document
Attachment C1 - Advance Introduction to Grantees_FINAL 04.08.20.docx	Supplementary Document
BHW SUD Supporting Statement B -- NORC response CLEAN.docx	Supporting Statement B
BHW SUD Supporting Statement A --NORC_response CLEAN.docx	Supporting Statement A
Bureau of Health Workforce Substance Use Disorder Evaluation	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202004-0906-002	New collection (Request for a new OMB Control Number)	2020-05-04		Approved with change