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

Document Name
Form 4 THC Graduation Survey Form and Instruction
Form 3 THC Matriculant Survey Form and Instruction
Form 2 THC Alumni Survey Form and Instruction
Form 1 Program Data Collection Tool Form and Instruction
Supporting Statement A THC Eval 11-29-16_clean.docx Supporting Statement A
OMB Survey Question Mapping.xlsx Supplementary Document
OMB Supporting Statement B THC Eval 11-29-16_clean.docx Supporting 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All Historical Document Collections

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