Information Collection

Urgent Care Center Interviews

IC 227990 under ICR 201504-0990-001 · OMB 0990-0391.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0391 can be found here:

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Urgent Care Center Interviews

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.