Audio recorded encounters

Evaluation of the SHARE Approach Model

Documents and Forms

Document Name Document Type
Form 4 Audio recorded encounters Form and Instruction
4 Audio recorded encounters Audio recording coding scheme.docx Form and Instruction
4 Audio recorded encounters Audio recording coding scheme.docx Form and Instruction
Justification.docx Justification IC Document
Justification.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Audio recorded encounters	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	4	Audio recorded encounters	Audio recording coding scheme.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 260	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	260	260
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Justification.docx	07/23/2021

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