Moderator's Guide for In-depth Interviews of Physicians

Asthma Education Study: Making Health Care Providers Better Asthma Educators

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Moderator's Guide for In-depth Interviews of Physicians	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:

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 %

	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

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.