MIECHV TARC Satisfaction Survey

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

OMB: 0906-0084

IC ID: 265734

Information Collection (IC) Details

View Information Collection (IC)

MIECHV TARC Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Adaptive Leadership Academy Completion Survey Adaptive Leadership Academy Completion Survey.docx Yes Yes Fillable Fileable
Form and Instruction 2 Community of Practice Survey Completion Survey Community of Practice Survey_Completion Survey.docx Yes Yes Fillable Fileable
Form and Instruction 3 Practicum Check In Survey CQI Practicum Check in Survey.docx Yes Yes Fillable Fileable
Form and Instruction 4 CQI Practicum Polls CQI Practicum Polls.docx Yes Yes Fillable Fileable
Form and Instruction 5 Individualized Targeted TA Check in Individualized Targeted TA Check in.docx Yes Yes Fillable Fileable
Form and Instruction 6 Small Group TA Closeout Survey Small Group TA Closeout Survey.docx Yes Yes Fillable Fileable
Form and Instruction 7 TARC Meeting Poll TARC Meeting Poll.docx Yes Yes Fillable Fileable
Form and Instruction 9 Webinar Survey Webinar Survey.docx Yes Yes Fillable Fileable
Form and Instruction 8 CQI Practicum Completion Survey CQI Practicum Completion Survey.docx Yes Yes Fillable Fileable
Form and Instruction 10 Individualized Targeted TA Individualized Targeted TA Closeout.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

967 0
   
Individuals or Households
 
   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 967 0 967 0 0 0
Annual IC Time Burden (Hours) 145 0 145 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MIECHV TARC Fast Track Survey Memo Fast track memo_TARC Surveys.docx 03/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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