Information Collection

Policy and Decision Makers Interview, Private Sector

IC 195057 under ICR 201010-0920-010 · OMB 0920-0876.

Documents and Forms

Document Name Document Type
Policy and Decision Makers Interview, Private Sector Form
Interview Guide for Policy Makers Attachment 10 Interveiw Guide for Policy and Decision Makers.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Policy and Decision Makers Interview, Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	none	Interview Guide for Policy Makers	Attachment 10 Interveiw Guide for Policy and Decision Makers.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	90	90
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.