Information Collection

Qualitative, semi-structured interviews with AIM Team Leads

IC 237417 under ICR 202009-0935-005 · OMB 0935-0246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form J1 Qualitative, semi-structured interviews with AIM Team Leads	Form and Instruction
J1 Attachment J1 Interview guide for qualitative interviews Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx	Form and Instruction
J2 Attachment J2 Interview guide for qualitative interviews Appendix J2_NEW_Interview Guide 15_16 mos_06042020_clean.docx	Form and Instruction

IC Title:

Qualitative, semi-structured interviews with AIM Team Leads

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	J1	Attachment J1 Interview guide for qualitative interviews with AIM Team Leads, 3-4mo (revised)	Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx		No		Paper Only
Form and Instruction	J2	Attachment J2 Interview guide for qualitative interviews with AIM Team Leads, 15-16mo (new)	Appendix J2_NEW_Interview Guide 15_16 mos_06042020_clean.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	5	25
Annual IC Time Burden (Hours)	30	5	25
Annual IC Cost Burden (Dollars)	0	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.