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Wave 2 - School Staff Key Informant Interview
Evaluation of the DP18-1801 Healthy Schools Program
OMB: 0920-1302
IC ID: 238745
OMB.report
HHS/CDC
OMB 0920-1302
ICR 201910-0920-010
IC 238745
( )
Documents and Forms
Document Name
Document Type
Wave 2 - School Staff Key Informant Interview
Form and Instruction
School Staff Key Informant Interview Guide
Attachment 6 -School Key Informant Interview Guide and Participant Consent.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Wave 2 - School Staff Key Informant 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
Form and Instruction
NA
School Staff Key Informant Interview Guide
Attachment 6 -School Key Informant Interview Guide and Participant Consent.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
54
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
54
0
54
0
0
0
Annual IC Time Burden (Hours)
68
0
68
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.