Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Bureau of Primary Health Care (BPHC) Website Card Sort New 35 18 0 Other-Survey-test script
ADVANCING THE RESPONSE TO COVID-19: SHARING PROMISING PROGRAMS AND PRACTICES FOR RACIAL AND ETHNIC MINORITY COMMUNITIES VIRTUAL SYMPOSIUM WEBINAR ASSESSMENT New 1500 375 0 Other-Survey
ASPR Candidate Experience Survey New 1000 83 0 Other-survey
ASPR Listening Sessions New 350 217 0 Other-Registration Form
Bureau of Health Workforce (BHW) Website Usability Testing New 30 15 0 Other-Test Script instrument
COVID-19 VIRTUAL LEARNING SESSIONS FEEDBACK ASSESSMENT New 200 50 0 Other-learning session
Customer Feedback on Previously Developed Health Messaging to Promote Vaccination Among Older African American Community Health Workers New 500 125 0 Other-Questionnaire
Federal Office of Rural Health Policy (FORHP) Website Card Sort New 30 15 0 Other-card sort script
Focus Group Feedback OPA Adolescent Health Strategic Plan New 250 500 0 Other-Focus Group Questions
HHS.gov Continuous Improvement Survey New 50 13 0 Other-survey
HRSA Division of Transplantation (DoT) Concept Testing New 60 105 0 Form and Instruction 1 Informed Consent: DoT Concept Testing
Instruction
Instruction
HRSA HIV/AIDS Bureau (HAB) Website Card Sort New 30 15 0 Other-HAB cart test script
Interviews for OPA Adolescent Health National Strategic Plan Development New 20 20 0 Other-structured interview guide
Intranet Customers Feedback New 1250 63 0 Other-FT Generic Survey
Key Informant Impact and Gap Feedback Tool - 2021 California Wildfires Disaster New 50 2 0 Other-
Maternal and Child Health Bureau (MCHB) Website Card Sort New 30 15 0 Other-MCHB card test script
National Hypertension Control Initiative (NHCI) Community Health Center Assessment New 350 175 0 Other-test script
OMH WEBINAR PROMISING PROGRAMS AND PRACTICES ASSESSMENTS New 1500 375 0 Other-webinar
Office of Population Affairs (OPA) 2021 Annual Grantee Satisfaction Survey New 173 58 0 Other-survey and instruction
Office of Population Affairs (OPA) Title X Family Planning Annual Reporting (FPAR) 2.0 Grantee Readiness Survey New 213 82 0 Other-survey and script
Office of Population Affairs (OPA) Training and Technical Assistance (T/TA) Satisfaction Survey New 2736 228 0 Other-survey and instructions
Office of Population Affairs Grantee Satisfaction Survey 2022 New 151 50 0 Other-survey with instructions
Office of the Assistant Secretary for Health (OASH) Office of Regional Health Operations (ORHO) External Customer Satisfaction Survey New 5000 250 0 Other-survey
TPP Network grantee technical assistance survey New 26 4 0 Other-survey and instructions
TPP Performance measures Technical Assistance Survey New 366 61 0 Other-survey script instructions and reminder emails
TPP20 Tier 1 and Tier 2 Grantee Informational Form New 75 19 0 Other-Survey
Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance Product Satisfaction Feedback Survey New 494 82 0 Other-survey and instructions
Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance: Satisfaction Survey for Group TA Activities New 1068 178 0 Other-survey and instructions
Tree Testing of Funding Section on HRSA.gov New 30 15 0 Instruction
Instruction
Tree Testing of HRSA's MCHB Website New 50 25 0 Instruction
Instruction
User feedback for the Benefit Cliff Calculator New 400 23 0 Other-Survey
White House Conference on Food, Nutrition, Hunger, and Health listening sessions/convenings and online public comment form. New 1360 2040 0 Form and Instruction 2 Partner Led Convenings
Form and Instruction 1 White House Led Convening Tool Kit
Form and Instruction 3 Regional Led Convening Tool Kit
www.medicalcountermeasures.gov customer site feedback form New 11 3 0 Other-question
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 19388 5299 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title