Evaluation of Public Health AmeriCorps

OMB 3045-0199

Latest Forms, Documents, and Supporting Material

Document Name
Form 06 Training and TA Form Form and Instruction
Form 06 Training and TA Form Form and Instruction
Form 02 Grantee Survey Form and Instruction
Form 02 Grantee Survey Form and Instruction
Form 01 Early Exit Survey Form and Instruction
Form 01 Early Exit Survey Form and Instruction
Form 01 Member Alumni Survey Form and Instruction
Form 01 Member Alumni Survey Form and Instruction
PHA EVAL Justification of Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change
PHA EVAL Justification of Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change
30-Day Notice_02-06-24.pdf Supplementary Document
30-Day Notice_02-06-24.pdf Supplementary Document
60-Day PHA Evaluation.pdf Supplementary Document
60-Day PHA Evaluation.pdf Supplementary Document
42 U.S.C. 12639.pdf Supplementary Document
42 U.S.C. 12639.pdf Supplementary Document
EO 13996.pdf Supplementary Document
EO 13996.pdf Supplementary Document
3045-NEW PHA Member Outcome Surveys_SSB_FINAL.docx Supporting Statement B
3045-NEW PHA Member Outcome Surveys_SSB_FINAL.docx Supporting Statement B
3045-NEW PHA Member outcome Surveys_SSA_FINAL.docx Supporting Statement A
3045-NEW PHA Member outcome Surveys_SSA_FINAL.docx Supporting Statement A
Partner Interview Other-Interview Questions
Early Exit Interview Other-Interview Questions
Grantee Focus Group Other-Focus Group Questions
Training and TA Form Form and Instruction
Training and TA Form Form and Instruction
Grantee Survey Form and Instruction
Grantee Survey Form and Instruction
Early Exit Survey Form and Instruction
Early Exit Survey Form and Instruction
Member Alumni Survey Form and Instruction
Member Alumni Survey Form and Instruction