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Interview with Teachers
Formative Research for and Community Uptake of the Eagle Books and Youth Books for American Indians and Alaska Natives
OMB: 0920-0897
IC ID: 198626
OMB.report
HHS/CDC
OMB 0920-0897
ICR 201107-0920-005
IC 198626
( )
Documents and Forms
Document Name
Document Type
Interview with Teachers
Form
Teachers Interview Guide
E-1 Teachers Discussion Guide.doc
Form
E-2 Teachers Information Sheet.doc
Att E2 - Info Sheet for Teachers
IC Document
E-3 Teachers Consent Form.doc
Att E3 - Consent for Teachers
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Interview with Teachers
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
Teachers Interview Guide
E-1 Teachers Discussion Guide.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
16
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
16
0
16
0
0
0
Annual IC Time Burden (Hours)
20
0
20
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att E2 - Info Sheet for Teachers
E-2 Teachers Information Sheet.doc
07/20/2011
Att E3 - Consent for Teachers
E-3 Teachers Consent Form.doc
07/20/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.