Telephone Interview Guide for Informatics Directors

Healthcare Facilities Granting State Health Departments Access to Electronic Health Record Data during a Healthcare-Associated Infection Outbreak: A Retrospective Assessment

Documents and Forms

Document Name Document Type
Telephone Interview Guide for Informatics Directors Form and Instruction
Telephone Interview Guide for Informatics Directors Appendix E_ Interview Guide Informatics Director_Final_.docx Form and Instruction
Appendix J_Requesting Participation_Final_.docx Individual Email to Infection Preventionists, Informatics Directors, and Others as Referred IC Document
Appendix K Reminder email_Final_.docx Individual Email Reminder to Infection Preventionists, Informatics Directors, Others as Referred, and Clinic Directors IC Document
Appendix L_Thank you_Final.docx Thank You Email to Participants IC Document

Information Collection (IC) Details

IC Title:	Telephone Interview Guide for Informatics Directors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	None	Telephone Interview Guide for Informatics Directors	Appendix E_ Interview Guide Informatics Director_Final_.docx	None	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Individual Email to Infection Preventionists, Informatics Directors, and Others as Referred	Appendix J_Requesting Participation_Final_.docx	02/25/2015
Individual Email Reminder to Infection Preventionists, Informatics Directors, Others as Referred, and Clinic Directors	Appendix K Reminder email_Final_.docx	02/25/2015
Thank You Email to Participants	Appendix L_Thank you_Final.docx	02/25/2015

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