View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Expanding Health Center Awareness of Sexual Assault-Related Health Care Needs (SATA) Evaluation
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Comprehensive Survey 2024-09-12_SATA_Comprehensive-Survey-and-Consent_Final.docx Yes Yes Fillable Fileable
Form and Instruction 2 Post-TA Activity Survey 2024-09-12_SATA_Post-TA-Activity-Survey-and-Consent_Final.docx Yes Yes Fillable Fileable
Form and Instruction 3 Qualitative Interview 2024-09-12_SATA_Qual-Interview-Guide-and-Consent_Final.docx Yes Yes Fillable Fileable

Health Health Care Services

 

582 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 582 0 582 0 0 0
Annual IC Time Burden (Hours) 104 0 104 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic IC Memo_SATA Evaluation 2024-09-12_SATA_OMB-Fast-Track-Memo.docx 09/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.