2019 SAS Telemedicine Cog Interviews

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 234426

Information Collection (IC) Details

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2019 SAS Telemedicine Cog Interviews
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Attachment A - Proposed Telemedicine Questions for SAS Attachment A - Proposed Telemedicine Questions for the Services Annual Survey.docx No   Fillable Fileable
Form 2 Attachment C - SAS Questionnaire Attachment C - Services Annual Survey.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

50 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo Telemedicine OMB Letter.docx 12/06/2018
Attachment B - Cognitive Protocol Attachment B - Telemedicine Cognitive Interview Protocol.docx 12/06/2018
Attachment D - Recruiting Scripts Attachment D - Recruiting Script.docx 12/06/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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