Information Collection

Attachment B: Key Informant Interview Guides - Grantees

IC 242223 under ICR 202006-0935-002 · OMB 0935-0254.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0254 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Attachment B: Key Informant Interview Guides - Grantees Form and Instruction
1 Attachment B: Key Informant Interview Guides - Grantees KII Interview Guides_Grantees_Pilot Testing_6.11.20_final.docx Form and Instruction
2 Attachment C: Key Informant Interview Guides - Practices KII Interview Guides_Practices_Pilot Testing_6.11.20_final (002).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attachment B: Key Informant Interview Guides - Grantees	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 B: Key Informant Interview Guides - Grantees	KII Interview Guides_Grantees_Pilot Testing_6.11.20_final.docx		No		Paper Only
Form and Instruction	2	Attachment C: Key Informant Interview Guides - Practices	KII Interview Guides_Practices_Pilot Testing_6.11.20_final (002).docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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