Information Collection

Key Informant Interviews

IC 200141 under ICR 201208-0915-006 · OMB 0915-0347.

Documents and Forms

Document Name Document Type
Form 1 Key Informant Interviews Form
1 Key Informant Interview Discussion Guide Attachment E Key Informant Interview Discussion Guide May 2012.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Key Informant Interviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	1	Key Informant Interview Discussion Guide	Attachment E Key Informant Interview Discussion Guide May 2012.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	30	30
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.