Qualitative, semi-structured interviews with AIM Team Leads

Safety Program in Perinatal Care (SPPC)-II Demonstration Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:

Documents and Forms

Document Name Document Type
Form J Qualitative, semi-structured interviews with AIM Team Leads Form and Instruction
J Qualitative, semi-structured interviews with AIM Team Le Attachment J- Interview guide for qualitative interviews with AIM Team Leads.docx Form and Instruction
K Concent form Attachment K Consent form for qualitative interviews with AIM Team Leads.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Qualitative, semi-structured interviews with AIM Team Leads	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
Form and Instruction	J	Qualitative, semi-structured interviews with AIM Team Leads	Attachment J- Interview guide for qualitative interviews with AIM Team Leads.docx		No		Paper Only
Form and Instruction	K	Concent form	Attachment K Consent form for qualitative interviews with AIM Team Leads.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
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.