OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Center Workforce Survey: Listening Sessions

IC 260918 under ICR 202306-0915-006 · OMB 0915-0379.

Documents and Forms
Document Name
Document Type
Other-Slide Deck
Other-Slide Deck
Form
Form
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Health Center Workforce Survey: Listening Sessions
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Slide Deck Leadership Listening Session Deck revised 3-23-2020 approved July 6.pptx Yes No Printable Only
Form 1 Listening Session Consent Form Listening Session Consent Form revised July 6.docx Yes Yes Fillable Fileable

Health Health Care Services

 

60 60
   
Private Sector Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 60 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Listening Session Supporting Statement A Listening Session Supporting Statement A_081020_CLEAN2.docx 06/29/2023
Listening Session Supporting Statement B Listening Session Supporting Statement B_with revisions July 6.docx 06/29/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.