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Tree Testing of HRSA's Ryan White HIV/AIDS Program website
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 264359
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202401-0915-004
IC 264359
( )
Documents and Forms
Document Name
Document Type
RWHAP Tree Test Plan.docx
Other-Tree Test Plan
RWHAP Tree Test Plan.docx
Other-Tree Test Plan
1 Tree Test Script
RWHAP Tree Test Script.docx
Form
1 Tree Test Script
RWHAP Tree Test Script.docx
Form
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
Original Generic IC request
IC Document
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
Original Generic IC request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tree Testing of HRSA's Ryan White HIV/AIDS Program website
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
Other-Tree Test Plan
RWHAP Tree Test Plan.docx
Yes
Yes
Fillable Fileable
Form
1
Tree Test Script
RWHAP Tree Test Script.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:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
25
0
25
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Original Generic IC request
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
01/09/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.