Information Collection

Appendix A1. Scholar Interview Guide

IC 242174 under ICR 202006-0935-001 · OMB 0935-0255.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form A1 Appendix A1. Scholar Interview Guide	Form and Instruction
A1 Appendix A1. Scholar Interview Guide Appendix A1. Scholar Discussion Guide_5-18-20.docx	Form and Instruction
Appendix A2. Scholar Invitation Email.docx Appendix A2. Scholar Invitation Email	IC Document
Appendix A3. Scholar FAQs.docx Appendix A3. Scholar Study Description/FAQs	IC Document
Appendix A4. Scholar Invitation Reminder Email.docx Appendix A4. Scholar Invitation Reminder Email	IC Document
Appendix A5. Scholar Recruitment Telephone Script.docx Appendix A5. Scholar Telephone Recruitment Script	IC Document
Appendix A6. Scholar Scheduling Email.docx Appendix A6. Scholar Scheduling Email	IC Document
Appendix A7. Scholar Confirmation Email.docx Appendix A7. Scholar Confirmation Email	IC Document
Appendix A8. Scholar Interview Reminder Email.docx Appendix A8. Scholar Reminder Email	IC Document
Appendix A9. Scholar Reminder Telephone Script.docx Appendix A9. Scholar Reminder Telephone Script	IC Document
Appendix A10. Scholar Thank You Email.docx Appendix A10. Scholar Thank-You Email	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	A1	Appendix A1. Scholar Interview Guide	Appendix A1. Scholar Discussion Guide_5-18-20.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 41

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: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	41	41
Annual IC Time Burden (Hours)	41	41
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A2. Scholar Invitation Email	Appendix A2. Scholar Invitation Email.docx	06/05/2020
Appendix A3. Scholar Study Description/FAQs	Appendix A3. Scholar FAQs.docx	06/05/2020
Appendix A4. Scholar Invitation Reminder Email	Appendix A4. Scholar Invitation Reminder Email.docx	06/05/2020
Appendix A5. Scholar Telephone Recruitment Script	Appendix A5. Scholar Recruitment Telephone Script.docx	06/05/2020
Appendix A6. Scholar Scheduling Email	Appendix A6. Scholar Scheduling Email.docx	06/05/2020
Appendix A7. Scholar Confirmation Email	Appendix A7. Scholar Confirmation Email.docx	06/05/2020
Appendix A8. Scholar Reminder Email	Appendix A8. Scholar Interview Reminder Email.docx	06/05/2020
Appendix A9. Scholar Reminder Telephone Script	Appendix A9. Scholar Reminder Telephone Script.docx	06/05/2020
Appendix A10. Scholar Thank-You Email	Appendix A10. Scholar Thank You Email.docx	06/05/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.