Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MCH Nutrition Training Needs Assessment New 59 15 0 Form and Instruction 1
2022 National Ryan White Conference on HIV Care & Treatment Evaluation New 1250 331 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Be The Match Donation Experience Survey New 1625 218 0 Form and Instruction 1
Collection of Qualitative Feedback on Telehealth.HHS.gov New 17465 99 0 Form 1
Form 2
Customer Feedback Survey New 1844 154 0 Form and Instruction 1
DGMO Customer Service Satisfaction Survey New 768 92 0 Form 1
DIR Objective Review Assessment Survey New 2300 575 0 Instruction
Form 1
Form 1.2
Form and Instruction 2
Other-Public Burden Screenshot
Early Childhood Systems Technical Assistance and Coordinating Center (ECS TACC) Customer Satisfaction Surveys New 320 79 0 Form A
Form B
Form C
Form D
Federal Cervical Cancer Collaborative (FCCC) Post-Roundtable Evaluation New 200 17 0 Form and Instruction 1
Feedback and Lessons Learned from CBO Program Award Recipients New 100 133 0 Instruction
Instruction
Instruction
HRSA Division of Transplantation (DoT) Formative Evaluation Minority Organ Donation Outreach (Online Focus Groups) New 54 95 0 Form and Instruction 1
Form and Instruction 3
Form and Instruction 2
HRSA Electronic Handbooks Customer Service Survey New 5000 40 0 Form and Instruction 1
Health Center COVID-19 Vaccine Program (HCVP) After-Action Survey New 1505 376 0 Instruction
Health Center Program Support (HCPS) Customer Service Survey New 800 40 0 Form 1
Listening Session Questions New 90 90 0 Form and Instruction 1
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program On-Site Compliance Review Awardee Feedback Form New 315 79 0 Form 1
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center (ITAC) Satisfaction Surveys New 665 70 0 Form 1
Form 2
Form 3
Maternal, Infant, and Early Childhood Home Visiting Program Technical Assistance Resource Center (TARC) Satisfaction Surveys New 2230 209 0 Form 1
Form 2
Form 3
Form 4
Form 5
Form 6
Form 7
Form 8
Form 9
Form 10
Organdonor.gov Website Survey New 400 67 0 Form and Instruction 1
Primary Health Care Digest Newsletter Subscriber Survey New 5000 583 0 Form and Instruction 1
Title V Information System (TVIS) User Satisfaction Survey New 70 12 0 Form and Instruction 1
Tree Testing of HRSA's Ryan White HIV/AIDS Program website New 50 25 0 Form and Instruction 1
Form and Instruction 1
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 42110 3399 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title