OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evaluation and Initial Assessment of HRSA Teaching Health Centers

OMB 0915-0376 · HHS/HSA.

OMB 0915-0376

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 4 THC Graduation SurveyForm and Instruction
Form 3 THC Matriculant SurveyForm and Instruction
Form 2 THC Alumni SurveyForm and Instruction
Form 1 Program Data Collection ToolForm and Instruction
Supporting Statement A THC Eval 11-29-16_clean.docxSupporting Statement A
OMB Survey Question Mapping.xlsx Supplementary Document
OMB Supporting Statement B THC Eval 11-29-16_clean.docxSupporting Statement B
THC Graduation Survey Form and Instruction
THC Matriculant Survey Form and Instruction
THC Alumni Survey Form and Instruction
Program Data Collection Tool Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201612-0915-005 Extension without change of a currently approved collection 2016-12-28 Approved without change
201309-0915-002 New collection (Request for a new OMB Control Number) 2013-09-12 Approved with change