Information Collection

Interview Guide

IC 188041 under ICR 200908-0920-004 · OMB 0920-0811.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Interview Guide	Form and Instruction
3 Interview: Concept Testing for TBI Education Materials ( Attachment 4- Moderators Guide for In-Depth Interview for Administrators.09-0121.doc	Form and Instruction

IC Title:

Interview Guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Interview: Concept Testing for TBI Education Materials (Interviews with School Administrators)	Attachment 4- Moderators Guide for In-Depth Interview for Administrators.09-0121.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.