Information Collection

Key Informant Interview Guide_PH/MH Agency Staff

IC 208426 under ICR 201403-0920-001 · OMB 0920-0993.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Key Informant Interview Guide_Consent Form Key Informant Interview Guide_PH/MH Agency Staff	Form and Instruction
Attachment E_Key Informant Interview Guide_ PHMH Agency Staff.docx	Other-Key Informant Interview Guide_
Attachment C_ Key Informant Interview_ Introductory Letter.docx	Other-Interview Guide
Key Informant Interview Guide_Consent Form Attachment G_Key Informant Interview Guide_Consent Form.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Key Informant Interview Guide_PH/MH Agency Staff		Yes	No	Printable Only
Other-Interview Guide		Yes	No	Printable Only
Form and Instruction	None	Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 53

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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