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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 2 Health Providers Interview Guide OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health	Form
Form 1 Health Providers Screening Instrument 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2				No		Paper Only
Form	1				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Formative Research Plan		05/30/2019
Health Providers IDI Supplemental A		05/30/2019
Health Provider IDI Supplemental B		05/30/2019

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].