Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews

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⚠️ Notice: This information collection may be referencing outdated material.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
Instrument 4-A_HPOG 2.0 National Evaluation In Person Implementation Int_clean.docx Other-Interview
Instrument 4-B_HPOG 2.0 National Evaluation In-Person Implementation Interviews Basic Skills Training_CLEAN.docx Other-Interview
Instrument 4-C_HPOG 2.0 National Evaluation In-Person Implementation Interviews Career Pathways_CLEAN.docx Other-Interview
Instrument 4-D_HPOG 2.0 National Evaluation In-Person Implementation Interviews Work-Readiness_CLEAN.docx Other-Interview
Instrument 4-E_HPOG 2.0 National Evaluation In-Person Implementation Interviews Sustainability_ CLEAN.docx Other-Interview

Information Collection (IC) Details

IC Title:	Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview	Instrument 4-D_HPOG 2.0 National Evaluation In-Person Implementation Interviews Work-Readiness_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-E_HPOG 2.0 National Evaluation In-Person Implementation Interviews Sustainability_ CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-A_HPOG 2.0 National Evaluation In Person Implementation Int_clean.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-B_HPOG 2.0 National Evaluation In-Person Implementation Interviews Basic Skills Training_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-C_HPOG 2.0 National Evaluation In-Person Implementation Interviews Career Pathways_CLEAN.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: 59	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	89	89
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.