Information Collection

OBGYN Informant Interview - Pretraining

IC 220398 under ICR 202102-0920-003 · OMB 0920-1129.

Documents and Forms

Document Name Document Type
OBGYN Informant Interview - Pretraining Form
OBGYN Informant Interview - Pretraining R7 OBGYN Qualitative Key Informant Interview_Pre-Training.pdf Form
OBGYN Informant Interview - Pretraining R7 OBGYN Qualitative Key Informant Interview_Pre-Training.pdf Form
H7 OBGYN Qualitative Key Informant Interview - Pre-Training.docx OBGYN Informant Interview - Pretraining - word IC Document
H7 OBGYN Qualitative Key Informant Interview - Pre-Training.docx OBGYN Informant Interview - Pretraining - word IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OBGYN Informant Interview - Pretraining	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	none	OBGYN Informant Interview - Pretraining	R7 OBGYN Qualitative Key Informant Interview_Pre-Training.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-34	34
Annual IC Time Burden (Hours)	-14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OBGYN Informant Interview - Pretraining - word	H7 OBGYN Qualitative Key Informant Interview - Pre-Training.docx	03/02/2016

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