Adapting Clnical Guidelines for the Digital Age Meeting Assessment

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Adapting Clnical Guidelines for the Digital Age Meeting Assessment Form
Assessment 0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Instrument_20180222 (003).docx Form
0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Request for Approval_20180222.docx Request for Approval IC Document
0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Email Script_20180222.docx Email Invitation IC Document

Information Collection (IC) Details

IC Title:	Adapting Clnical Guidelines for the Digital Age Meeting Assessment	Agency IC Tracking Number:	0920-1050-18SA

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	none	Assessment	0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Instrument_20180222 (003).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 232	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	232	232
Annual IC Time Burden (Hours)	39	39
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Request for Approval_20180222.docx	02/23/2018
Email Invitation	0920-1050-OPHSS Adapting Clinical Guidelines for the Digital Age Meeting Assessment - Email Script_20180222.docx	02/23/2018

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