Information Collection

Care coordinators interivew

IC 196133 under ICR 201408-0930-003 · OMB 0930-0340.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0340 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0371Attach 4 SiteVisit_CareCoordinators.doc	Other-survey

IC Title:

Care coordinators interivew

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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
Other-survey			0990-0371Attach 4 SiteVisit_CareCoordinators.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-20	20
Annual IC Time Burden (Hours)	-30	30
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.