Information Collection Request

Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)

ICR 202306-0915-006 · OMB 0915-0379 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 2 HRSA Health Center Workforce Survey: Pilot Survey Form and Instruction New Repair queued
Form 1 ealth Center Workforce Survey Evaluation and Technical Assistance: Pilot Survey Form New Repair queued
Form 1 HRSA Health Center Workforce Survey: Cognitive Interviews Form New Repair queued
Supporting Statement A Revision_clean.docx Supporting Statement A Uploaded 2023-06-29 Repair queued
Supporting Statement B Revision_clean.docx Supporting Statement B Uploaded 2023-06-29 Missing upstream
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/HSA
OMB Control No0915-0379
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202004-0915-007
Agency Tracking No21433
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31