Voluntary Partner Surveys: Focus Group Discussions on Training and Technical Assistance

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Document Name Document Type
0212 focus issues.doc Instruction
SOAR omb questions.doc HRSA memo 11-7-08 IC Document
soar letter.doc soar letter IC Document
soar conf letter.doc soar conference letter IC Document
ss cust soar.doc supporting statement for SOAR gen IC IC Document
soar partners.doc SOAR partners IC Document
soar practices.pdf SOAR practices IC Document
soar memo.doc SOAR memo IC Document
terms of clearance.doc terms of clearance IC Document

Information Collection (IC) Details

IC Title:	Voluntary Partner Surveys: Focus Group Discussions on Training and Technical Assistance	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			0212 focus issues.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 66	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	66	0	0	0	0	0
Annual IC Time Burden (Hours)	99	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
HRSA memo 11-7-08	SOAR omb questions.doc	11/10/2008
soar letter	soar letter.doc	11/10/2008
soar conference letter	soar conf letter.doc	11/10/2008
supporting statement for SOAR gen IC	ss cust soar.doc	11/10/2008
SOAR partners	soar partners.doc	11/10/2008
SOAR practices	soar practices.pdf	11/10/2008
SOAR memo	soar memo.doc	11/10/2008
terms of clearance	terms of clearance.doc	11/10/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.