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Interview Protocol for HRSA POs
Maternal Health Portfolio Evaluation
OMB: 0906-0059
IC ID: 244126
OMB.report
HHS/HRSA
OMB 0906-0059
ICR 202401-0906-001
IC 244126
( )
Documents and Forms
Document Name
Document Type
Attachment B1_Interview Protocol for HRSA Project Officers.docx
Instruction
Attachment B1_Interview Protocol for HRSA Project Officers.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Interview Protocol for HRSA POs
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Attachment B1_Interview Protocol for HRSA Project Officers.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
7
0
-68
0
0
75
Annual IC Time Burden (Hours)
11
0
-64
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.