Attachment A -- In-person Preliminary Interview Guide for LHS Leaders

Evaluating the Implementation of Products to Help Learning Health Systems Use Findings from AHRQ Evidence Reports

Documents and Forms

Document Name Document Type
Form 1 Attachment A -- In-person Preliminary Interview Guide for LHS Leaders Form and Instruction
1 Attachment A -- In-person Preliminary Interview Guide fo Attachment A.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Attachment A -- In-person Preliminary Interview Guide for LHS Leaders	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	1	Attachment A -- In-person Preliminary Interview Guide for LHS Leaders	Attachment A.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33	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	33	33
Annual IC Time Burden (Hours)	33	33
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.