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Federal forms, ICRs, and supporting documents

Information Collection

Qualitative semi-structured interviews with frontline staff

IC 247673 under ICR 202105-0935-001 · OMB 0935-0246.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Qualitative semi-structured interviews with frontline staff
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction J3 Interview guide for qualitative interviews with AIM Team Leads & frontline staff (summer/fall 2021) Appendix J3-BaselineInterviewGuide_12_16_20.docx Yes Yes Fillable Fileable
Instruction Appendix J5-Handout 1 List of Tier 2 Toolkit.docx Yes No Paper Only
Instruction Appendix J6-Handout 2 Online Modules.docx Yes No Paper Only

Health Health Care Services

 

32 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 32 0 32 0 0 0
Annual IC Time Burden (Hours) 16 0 16 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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