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End of Wave 1 Interview
I Can Do It, You Can Do It
OMB: 0990-0463
IC ID: 229857
OMB.report
HHS/HHSDM
OMB 0990-0463
ICR 201710-0990-002
IC 229857
( )
Documents and Forms
Document Name
Document Type
ICDI End of Wave 1 Interview Questions_Clean.docx
Other-INTERVIEW
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
End of Wave 1 Interview
Agency IC Tracking Number:
Is this a Common Form?
No
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
ICDI End of Wave 1 Interview Questions_Clean.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
10
0
10
0
0
0
Annual IC Time Burden (Hours)
5
0
5
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
