User Insights for NCHHSTP Atlas Website and Tool Review- Interviews

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)

OMB: 0920-1027

IC ID: 219430

Information Collection (IC) Details

View Information Collection (IC)

User Insights for NCHHSTP Atlas Website and Tool Review- Interviews 16IP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Facilitator Script Interview Att1-FacilitatorScript-Interview Final.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

30 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30 0 30 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track GenIC Request NCHHSTP Atlas_FastTrackSubmission ShortForm-Interviews.docx 12/30/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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