Information Collection

Follow-up Case Study Interview of DP13-1314 Program Director or Manager

IC 226617 under ICR 202004-0920-020 · OMB 0920-1193.

Documents and Forms

Document Name Document Type
Follow-up Case Study Interview of DP13-1314 Program Director or Manager Form and Instruction
Follow-up Case Study Interview Guide for DP13-1314 Progr Att 7a_ Follow up Case Study Interview Guide for DP13-1314 PD PM.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up Case Study Interview of DP13-1314 Program Director or Manager	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	N/A	Follow-up Case Study Interview Guide for DP13-1314 Program Director or Manager	Att 7a_ Follow up Case Study Interview Guide for DP13-1314 PD PM.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-4	4
Annual IC Time Burden (Hours)	-4	4
Annual IC Cost Burden (Dollars)	-225	225

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.