PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)

National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0462 can be found here:

Documents and Forms

Document Name Document Type
Updated Instrument 1. PAGES Grantee- and Participant-Level Data Items List_8.4.15.docx Other-Data collection System

Information Collection (IC) Details

IC Title:	PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Data collection System			Updated Instrument 1. PAGES Grantee- and Participant-Level Data Items List_8.4.15.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,393	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,393	7,393
Annual IC Time Burden (Hours)	3,697	3,697
Annual IC Cost Burden (Dollars)	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.