Key Informants Interview

Integrating Community Pharmacists and Clinical Sites for Patient-Centered HIV Care

OMB: 0920-1019

IC ID: 216726

Information Collection (IC) Details

View Information Collection (IC)

Key Informants Interview
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Interviewer Data Collection Worksheet Att 10a_Interviewer Data Collection Worksheet.docx No   Paper Only
Form none Revised Key Informant Interview Script Att 10b_Key Informant Interview Script_OMB comments_KB_clean copy.docx No   Paper Only

Health Illness Prevention

 

60 0
   
State, Local, and Tribal Governments
 
   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 120 0 0 0 0 120
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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