Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Bullying Prevention Training Modules Feedback Forms New 700 175 0 Form and Instruction A Form A For Participants in the Bullying Prevention Modules Training 7 17
Form and Instruction B Form B Follow-Up Form For Participants in the Bullying Prevention Training Module 7-17
Form and Instruction C Form C For participants in Community_Events_7-17
Form and Instruction D Form D Follow-Up Form For Community Event Participant 7-17
CAREWare customer/user satisfaction New 2000 340 0 Form and Instruction 1 AREWare customer/user satisfaction
Confirmatory Typing Survey New 2500 625 0 Form and Instruction 1 Confirmatory Typing Survey
Customer Satisfaction Feedback of MIECHV Post-Award Grant Monitoring Process New 112 28 0 Form and Instruction 1 customer satisfaction survey
DPDB Usability Studies New 300 300 0 Form 1 Usability Testing Survey-Website Form
Form 2 Usability Testing Survey-IQRS Form
HRSA Poison Help Campaign New 48 72 0 Form and Instruction 1 Moderator's Guide
MAPP Satisfaction Survey New 65 20 0 Form 1 NACCHO MAPP training satisfaction survey
MIECHV TACC Needs Assessment Survey New 56 14 0 Form and Instruction 1 TACC Needs Assessment
Maternal and Child Health Epidemiology Training Course One-Year Follow-up Survey New 40 10 0 Form 1 Maternal and Child Health Epidemiology Training Course One-Year Follow-up Survey
NHSC Virtual Job Fair Customer Feedback New 48 10 0 Form and Instruction 1 Site Feedback
Form and Instruction 2 Participant Survey
National Health Service Corps (NHSC) Virtual Job Fair Customer Feedback New 48 11 0 Form and Instruction 1 Site Feedback
Form and Instruction 2 Participant Feedback
Primary Care Faculty Development Initiative New 36 6 0 Form 1 PCFDI
Regions IV VI Infant Mortality Collaborative Improvement and Innovation Network (CoIIN) Participant Satisfaction Survey New 65 33 0 Form and Instruction 1 Regions IV and VI Infant Mortality CoIIN Participant Satisfaction Survey
Technical Assistance provided to Ryan White HIV/AIDS Program Grantees New 156 26 0 Form 1 Comprehensive Site Visit
Form 2 non-comprehensive site visit
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 6174 1670 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title