Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
BPHC Customer Service Survey New 1900 95 0 Form and Instruction 1
MIECHV TARC Satisfaction Survey New 967 145 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Form and Instruction 6
Form and Instruction 7
Form and Instruction 9
Form and Instruction 8
Form and Instruction 10
2024 Maternal, Infant, and Early Childhood Home Visiting Program All Grantee Meeting Evaluation Surveys New 1960 102 0 Form 1
2024 National Ryan White Conference on HIV Care & Treatment Evaluation New 937 325 0 Form 2
Form 3
Form and Instruction 1
Collection of Qualitative Feedback on Telehealth.HHS.gov New 17465 99 0 Form and Instruction 1
Form and Instruction 2
Collection of Qualitative Feedback on Telehealth.HHS.gov New 6600 48 0 Form 1
Form 2
DIR Objective Review Assessment Survey New 900 450 0 Instruction
Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 1A
Form and Instruction 1B
Form and Instruction 1C
Form and Instruction 2A
Form and Instruction 2B
Form and Instruction 2C
Form and Instruction 2D
Form and Instruction 2E
Form and Instruction 2F
Form and Instruction 3A
Form and Instruction 3B
Form and Instruction 3C
Form and Instruction 3E
Form and Instruction 3D
Form and Instruction 3F
Form and Instruction 3G
Form and Instruction 3H
Division of Grants Management Operations Customer Service Satisfaction Survey New 768 92 0 Form 1
Division of Independent Review Objective Review Assessment Survey New 2300 575 0 Form and Instruction 1.1
Form 2
Form 1
Form and Instruction 1.2
Other-Public Burden Statement Screenshot
Division of Practitioner Data Bank (DPDB) Webinar Feedback and Satisfaction Surveys New 2400 200 0 Form 1
Early Childhood Systems Technical Assistance and Coordinating Center Customer Satisfaction Surveys New 320 79 0 Form and Instruction A
Form and Instruction B
Form and Instruction C
Form and Instruction Attachment D
Evaluation Survey of Eligible National Practitioner Data Bank Entity Users: Relevance of Information Collected via NPDB Query Forms New 900 150 0 Form and Instruction 1
Form and Instruction 2
Federal Cervical Cancer Collaborative (FCCC) CERV-Net Evaluation New 48 36 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
HRSA Electronic Handbooks Customer Service Survey New 5000 40 0 Form and Instruction 1
HRSA Web Survey New 16667 833 0 Form 1
Form 2
HRSA Web Survey New 16667 833 0 Form 1
Form 2
HRSA/HIV & AIDS Bureau (HAB) Recipients Satisfaction Survey (RSS). New 250 58 0 Form and Instruction 1
Health Center Program Support Customer Service Survey New 800 40 0 Form and Instruction 1
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center Satisfaction Surveys New 665 70 0 Form 1
Form 2
Form and Instruction 3
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center 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
Maternal, Infant, and Early Childhood Home Visiting Program On-Site Compliance Review Awardee Feedback Form New 315 79 0 Form 1
Maternal, Infant, and Early Childhood Home Visiting Site Visit Awardee Feedback Form New 270 68 0 Form and Instruction 1
Form and Instruction A
National Marrow Donor Program Donation Experience Survey New 1672 217 0 Form and Instruction 1
National Practitioner Data Bank Usability Survey New 200 200 0 Form and Instruction 1
Technical Assistance to Support the HHS Viral Hepatitis National Strategic Plan New 25 25 0 Other-Interview Questions
Title V Information System 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 Other-Tree Test Plan
Form 1
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 82346 5105 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title