Information Collection

Phone Interview Questions for Point of Contact at Host Institutions

IC 204298 under ICR 201209-0925-003 · OMB 0925-0665.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0665 can be found here:

2013-08-20 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A7 Phone Interview Questions for Point of Contact at Host Institutions	Form and Instruction
Attachment A7 Phone Interview Questions for Host Institutes Attachment A.7 - Phone Interview Point of Contact Host Institution.doc	Form and Instruction
Attachment B.4.2 - Protocol Phone Interview POC Host Institution.doc Protocols for Phone Interviews	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Phone Interview Questions for Point of Contact at Host Institutions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	Attachment A7	Phone Interview Questions for Host Institutes	Attachment A.7 - Phone Interview Point of Contact Host Institution.doc		No	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD

FR Citation: 67 FR 60742

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	12	12
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
Protocols for Phone Interviews	Attachment B.4.2 - Protocol Phone Interview POC Host Institution.doc	09/26/2012

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