OMB
.report
Search
Tree Testing of HRSA's Ryan White HIV/AIDS Program website
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 259711
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202312-0915-001
IC 259711
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Tree Testing of HRSA's Ryan White HIV/AIDS Program website
Form and Instruction
1 Tree Test Plan
RWHAP Tree Test Plan.docx
Form and Instruction
1 Tree Test Plan
RWHAP Tree Test Plan.docx
Form and Instruction
1 Tree Test Script
RWHAP Tree Test Script.docx
Form and Instruction
1 Tree Test Script
RWHAP Tree Test Script.docx
Form and Instruction
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
Fast Track Memo
IC Document
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
Fast Track Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tree Testing of HRSA's Ryan White HIV/AIDS Program website
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 and Instruction
1
Tree Test Plan
RWHAP Tree Test Plan.docx
Yes
Yes
Fillable Fileable
Form and Instruction
1
Tree Test Script
RWHAP Tree Test Script.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:
50
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Memo
0915 0212-memo-fast-track-hrsa-04-06-2023.docx
04/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.