Rural Public Health Workforce Training Network Program (RPHWTN)

ICR 202305-0915-006

OMB: 0915-0392

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0392 can be found here:

2025-05-14 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form 4 Trainee Survey Form	New
Form 3 Grantee Exit Survey Form	New
Form 2 Grantee Follow-up Survey Form	New
Form 1 Grantee Baseline Survey Form	New
Supporting Statement A_RPHWNTP_Final 05082023.docx Supporting Statement A	2023-05-30
Attachment6_M-21-20.pdf Supplementary Document	2023-05-30
Attachment1_HRSA-22-117-RPHWTNP-NOFO.pdf Supplementary Document	2023-05-30

IC Document Collections

IC ID	Document Title	Status
260417	Trainee Survey Form	New
260416	Grantee Exit Survey Form	New
260415	Grantee Follow-up Survey Form	New
260414	Grantee Baseline Survey Form	New

ICR Details

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