Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MCH Nutrition Training Needs Assessment Unchanged 59 15 0 Form and Instruction 1
2022 National Ryan White Conference on HIV Care & Treatment Evaluation Unchanged 1250 331 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
2024 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program All Grantee Meeting Evaluation Surveys Unchanged 1960 102 0 Form 1
Form 2
Form 3
Form 4
Be The Match Donation Experience Survey Modified 1672 217 0 Form and Instruction 1
Form and Instruction 1A
Form and Instruction 1B
Collection of Qualitative Feedback on Telehealth.HHS.gov Unchanged 17465 99 0 Form 1
Form 2
Customer Feedback Survey Unchanged 1844 154 0 Form and Instruction 1
DGMO Customer Service Satisfaction Survey Unchanged 768 92 0 Form 1
DIR Objective Review Assessment Survey Unchanged 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 Unchanged 320 79 0 Form A
Form B
Form C
Form D
Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Query Forms Unchanged 900 150 0 Form and Instruction 1
Federal Cervical Cancer Collaborative (FCCC) Post-Roundtable Evaluation Unchanged 200 17 0 Form and Instruction 1
Feedback and Lessons Learned from CBO Program Award Recipients Unchanged 100 133 0 Instruction
Instruction
Instruction
HRSA Division of Transplantation (DoT) Formative Evaluation Minority Organ Donation Outreach (Online Focus Groups) Unchanged 54 95 0 Form and Instruction 1
Form and Instruction 3
Form and Instruction 2
HRSA Electronic Handbooks Customer Service Survey Unchanged 5000 40 0 Form and Instruction 1
HRSA Web Survey Unchanged 16667 833 0 Form 1
Form 2
Health Center COVID-19 Vaccine Program (HCVP) After-Action Survey Unchanged 1505 376 0 Instruction
Health Center Program Support (HCPS) Customer Service Survey Unchanged 800 40 0 Form 1
Listening Session Questions Unchanged 90 90 0 Form and Instruction 1
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program On-Site Compliance Review Awardee Feedback Form Unchanged 315 79 0 Form 1
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center (ITAC) Satisfaction Surveys Unchanged 665 70 0 Form 1
Form 2
Form 3
Maternal, Infant, and Early Childhood Home Visiting Program Technical Assistance Resource Center (TARC) Satisfaction Surveys Unchanged 2230 209 0 Form 1
Form 2
Form 3
Form 4
Form 5
Form 6
Form 7
Form 8
Form 9
Form 10
National Organ Donation Expert Opinion Survey Unchanged 18 6 0 Instruction
National Practitioner Data Bank (NPDB) Usability Survey Unchanged 200 200 0 Form and Instruction 1
Organdonor.gov Website Survey Unchanged 400 67 0 Form and Instruction 1
Primary Health Care Digest Newsletter Subscriber Survey Unchanged 5000 583 0 Form and Instruction 1
Title V Information System (TVIS) User Satisfaction Survey Unchanged 70 12 0 Form and Instruction 1
Trainee Ambassador Group Survey Unchanged 90 23 0 Form and Instruction 1
Tree Testing of HRSA's Ryan White HIV/AIDS Program website Unchanged 50 25 0 Form and Instruction 1
Form and Instruction 1
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 61992 4712 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title