Information Collection

Moderator's Guide for In-depth Interviews of Physicians

IC 200674 under ICR 201201-0920-001 · OMB 0920-0933.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Asthma Ed_Att 5_IDIs MDs_ 111711.doc	Other-WORD
0920-AsthmaEd_Att 7. Informed Phys.docx 0920-AsthmaEd_Att 7. Informed Phys	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5

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
Other-WORD			Asthma Ed_Att 5_IDIs MDs_ 111711.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 24

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-AsthmaEd_Att 7. Informed Phys	0920-AsthmaEd_Att 7. Informed Phys.docx	05/01/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.