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2024 National Ryan White Conference on HIV Care & Treatment Evaluation
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 266140
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202406-0906-005
IC 266140
( )
Documents and Forms
Document Name
Document Type
Form 2
2024 National Ryan White Conference on HIV Care & Treatment Evaluation
Form
Form 2
2024 National Ryan White Conference on HIV Care & Treatment Evaluation
Form
2 2024 NWRC Conference Session Questionaire
2024 NWRC Conference Session Questionaire.docx
Form
2 2024 NWRC Conference Session Questionaire
2024 NWRC Conference Session Questionaire.docx
Form
3 2024 Ryan White CEU Session Evaluation
2024 Ryan White CEU Session Evaluation.pdf
Form
3 2024 Ryan White CEU Session Evaluation
2024 Ryan White CEU Session Evaluation.pdf
Form
1 Overall 2024 NRWC Conference Evaluation
Overall 2024 NRWC Conference Evaluation_3_24.docx
Form and Instruction
1 Overall 2024 NRWC Conference Evaluation
Overall 2024 NRWC Conference Evaluation_3_24.docx
Form and Instruction
Fast Track Memo - 2024 NRWC- OMB_3-24.docx
Fast Track Memo
IC Document
Fast Track Memo - 2024 NRWC- OMB_3-24.docx
Fast Track Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2024 National Ryan White Conference on HIV Care & Treatment Evaluation
Agency IC Tracking Number:
IC Status:
Unchanged
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
Form
2
2024 NWRC Conference Session Questionaire
2024 NWRC Conference Session Questionaire.docx
Yes
Yes
Fillable Fileable
Form
3
2024 Ryan White CEU Session Evaluation
2024 Ryan White CEU Session Evaluation.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
1
Overall 2024 NRWC Conference Evaluation
Overall 2024 NRWC Conference Evaluation_3_24.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:
937
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
937
0
0
0
0
937
Annual IC Time Burden (Hours)
325
0
0
0
0
325
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Memo
Fast Track Memo - 2024 NRWC- OMB_3-24.docx
03/21/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.