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HRSA Health Center Workforce Survey: Cognitive Interviews

IC 260919 under ICR 202306-0915-006 · OMB 0915-0379.

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HRSA Health Center Workforce Survey: Cognitive Interviews
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Cognitive Interview Informed Consent Cognitive Interview Informed Consent_1.6.2020 Submission.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) 90 0 90 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Cognitive Interview Supporting Statement A_1.6.2020 Submission.docx 06/29/2023
Supporting Statement B Cognitive Interview Supporting Statement B 12292020.docx 06/29/2023
HRSA Survey Draft HRSA Survey Draft V4__2.16.21 FINAL.docx 06/29/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.