Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Area Resource File User Survey New 360 24 0 Form 1 ARF User Survey
BCRS Collegiate Health Service Corps Survey New 1500 750 0 Form CHSC1 CHSC Survey
BCRS NELRP and NSP Focus Groups New 104 186 0 Form and Instruction 1 IDI Moderator Guide Nurses Administrators et al Creative Exploratory
Form and Instruction 2 In Person Moderator Guide Nurses Prospects Creative Exploratory
Form and Instruction 3 Online Focus Group Guide Nursing Current Participants
Form and Instruction 4 Online Focus Group Guide Nursing Prospective Applicants
BHPr Funding Strategy Evaluation New 140 40 0 Form PCRE-1 PCRE Eligible Funded
Form PCRE-2 PCRE-Eligible Inquiry Did Not Apply
Form PCRE-3 PCRE-Eligible No Inquiry Did Not Apply
BHPr Funding Strategy Evaluation - Applicants who did not receive funding New 50 25 0 Form PCRE-1 PCRE Survey - Eligible, Applied but not funded
BHPr Funding Strategy Evaluation- Expansion of Physician Assistant Training New 110 32 0 Form 1 EPAT Eligible Funded
Form 2 EPAT- Eligible Inquiry Did Not Apply
Form 3 EPAT- Eligible No Inquiry Did Not Apply
HRSA Division of Transplantation Qualitative Assessment of Outreach Materials New 223 383 0 Instruction
Instruction
Form 1 Screener Interview
Form 2 Screener focusgroup
Form 3 Interview Guide
Form 4 Focus Group Guide
HRSA Information Center Live Help Online New 2000 320 0 Form and Instruction 001_OCIC 001_OCIC
HRSA Quality Toolkit Survey New 750 50 0 Form QI 1 Quality Toolkit Survey
National Health Service Corps (NHSC) Brand and Materials Feedback New 294 141 0 Form and Instruction Attachment C Consent Form
Form and Instruction Attachment B Focus Group Moderator's Guide
Form and Instruction Attachment A Focus Group Recruitment Screener
Form and Instruction Attachment D NHSC Brand Materials Survey
Other-Attachment E- Materials to be tested
New Freedom Initiative Caregiver Broadcast Survey New 2000 83 0 Form and Instruction NFI 2009 NFI Survey
OFAM Customer Satisfaction Survey New 1500 150 0 Form and Instruction 1 Customer Survey
OFAM Grants Management Customer Service Survey New 300 30 0 Form 1 Customer Satisfaction Survey
Women's Health USA and Child Health USA User Satisfaction Surveys New 2000 320 0 Form and Instruction 001_CHUSA 001_CHUSA
Form and Instruction 001_WHUSA 001_WHUSA
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 11331 2534 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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