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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.