Information Collection

OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health

IC 235572 under ICR 201803-0990-002 · OMB 0990-0281.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0281 can be found here:

Documents and Forms

Document Name Document Type
Form 1 OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health Form
2 Health Providers Interview Guide ADVW HCPs IDI Interview Guide_2.27.19.docx Form
1 Health Providers Screening Instrument ADVW HCPs IDI Screening Instrument_2.26.19_OMB_OWH.docx Form
ADVW Formative Research Plan_2.26.19_OMB_OWH.docx Formative Research Plan IC Document
OMB OWH HCP IDIs Supporting Statement A 4-2-19_OMB_OWHdocx.docx Health Providers IDI Supplemental A IC Document
OMB OWH HCP IDIs Supporting Statement B 4-2-19_OMB_OWH.docx Health Provider IDI Supplemental B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health	Agency IC Tracking Number:

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	1	Health Providers Screening Instrument	ADVW HCPs IDI Screening Instrument_2.26.19_OMB_OWH.docx		No		Paper Only
Form	2	Health Providers Interview Guide	ADVW HCPs IDI Interview Guide_2.27.19.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Formative Research Plan	ADVW Formative Research Plan_2.26.19_OMB_OWH.docx	05/30/2019
Health Providers IDI Supplemental A	OMB OWH HCP IDIs Supporting Statement A 4-2-19_OMB_OWHdocx.docx	05/30/2019
Health Provider IDI Supplemental B	OMB OWH HCP IDIs Supporting Statement B 4-2-19_OMB_OWH.docx	05/30/2019

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