Information Collection

Community Stakeholder Interview

IC 235254 under ICR 201903-0990-001 · OMB 0990-0469.

Documents and Forms

Document Name Document Type
0990_New_Cross_Site_IMAGIN_Instrument3 Community Stakeholders.docx Other-Interview Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community Stakeholder 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 Guide			0990_New_Cross_Site_IMAGIN_Instrument3 Community Stakeholders.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	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.