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Urgent Care Center Interviews
The Hospital Preparedness Program
OMB: 0990-0391
IC ID: 227990
OMB.report
HHS/HHSDM
OMB 0990-0391
ICR 201504-0990-001
IC 227990
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0391 can be found here:
2018-08-03 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0391 ASPR TRACIE Urgent Care Center Attachment A - Initial Email Script for Recruiting Participants.doc
Other-interview
0990-0391 ASPR TRACIE Urgent Care Center Attachment B - Reminder Email Script for Recruiting Participants.doc
Other-interview
0990-0391 ASPR TRACIE Urgent Care Center Attachment C - Interview Discussion Guide.doc
Other-guide
SSA_0990-0391 Generic ASPR TRACIE Urgent Care Center Interviews 9-1-17.docx
SS_A
IC Document
SSB_0990-0391 Generic ASPR TRACIE Urgent Care Center Interviews 9-1-17.docx
SS_B
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Urgent Care Center Interviews
Agency IC Tracking Number:
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
Other-interview
0990-0391 ASPR TRACIE Urgent Care Center Attachment A - Initial Email Script for Recruiting Participants.doc
No
Fillable Fileable
Other-interview
0990-0391 ASPR TRACIE Urgent Care Center Attachment B - Reminder Email Script for Recruiting Participants.doc
No
Paper Only
Other-guide
0990-0391 ASPR TRACIE Urgent Care Center Attachment C - Interview Discussion Guide.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
90
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
90
0
90
0
0
0
Annual IC Time Burden (Hours)
36
0
36
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS_A
SSA_0990-0391 Generic ASPR TRACIE Urgent Care Center Interviews 9-1-17.docx
09/01/2017
SS_B
SSB_0990-0391 Generic ASPR TRACIE Urgent Care Center Interviews 9-1-17.docx
09/01/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.