Division of Independent Review Objective Review Assessment Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0906-0084

IC ID: 264344

Documents and Forms

Document Name Document Type
Form 1.1 Division of Independent Review Objective Review Assessment Survey Form and Instruction
Form 1.1 Division of Independent Review Objective Review Assessment Survey Form and Instruction
1.1 Screenshot Reviewer Instr DIR Review Assessment Survey form 1 - screenshot Reviewer instr.pdf Form and Instruction
2 Form Chair Q 1-5 FORM CHAIR Q 1-5.pdf Form
1 FORM Reviewer Evaluation Q 1- 15 FORM Reviewer Evaluation Q 1- 15.pdf Form
1.2 FORM Reviewer Evaluation-Field Review Q 1 - 12 FORM Reviewer Evaluation-Field Review Q 1 - 12.pdf Form and Instruction
Public Burden Statement Screenshot.pdf Other-Public Burden Statement Screenshot
Supporting Statement A - DIR Review Assessment Surve.docx Original Generic Request IC Document