OMB control number

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

OMB 0915-0379 · HHS/HSA.

OMB 0915-0379

The overarching generic clearance for Questionnaire and Data Collection Testing, Evaluation, and Research provides HRSA with the opportunity to collect feedback from members of the public for HRSA to use when developing new questions, questionnaires, and tools; pilot/pre-test instruments to be deployed by HRSA; and to identify problems in instruments currently in use. HRSA seeks to extend OMB approval of this ICR and existing ICRs that fall under it while including a slight increase in the burden estimate to account for HRSA’s implementation of Executive Order 13985, which calls on agencies to advance racial equity and support for underserved communities through identifying and addressing barriers to equal opportunity that underserved communities may face. HRSA will likely conduct additional collections to gather information from the public so that HRSA may effectively implement this Executive Order. This generic clearance is limited to data collection for the development or revision of HRSA tools and data collection instruments, as well as reports for internal decision-making and development purposes. Information collected under this generic clearance will not be used for data collection, reports, or policy documents to be released to the public. It is anticipated that data collection approved under this generic clearance will rely heavily on qualitative techniques and not the collection of numerical data. In general, these activities are not designed to yield results that meet generally accepted standards of statistical rigor but designed to obtain information to develop clearer and more effective and efficient data collection tools that will yield more accurate results and decrease public non-response. The forms submitted under this generic clearance will be voluntary, low-burden, and uncontroversial. In addition, HRSA requests to renew the following currently approved instruments under 0915-0379 along with the renewal of this generic umbrella collection: • Health Center Workforce Well-Being Survey: Listening Sessions • Health Center Workforce Well-Being Survey: Cognitive Sessions • Health Center Workforce Well-Being Survey: Pilot Testing • Health Center Workforce Survey Evaluation and Technical Assistance: Pilot Survey • Fast Track Interviews with National Hypertension Control Initiative (NHCI) Group 2 Participants. • Usability Testing for HRSA.gov website properties (moving from 0990-0379) • Organ Procurement and Transplantation Network (OPTN) Stakeholder Focus Groups • Ryan White HIV/AIDS Program Tree Testing Plan • PRA Questions for CEN Groups

The latest form for Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA) expires 2026-11-30 and can be found here.

OMB Details

Interviews with National Hypertension Control Initiative (NHCI) Group 2 Participants

Federal Enterprise Architecture: Health - Health Care Services