Information Collection

Audio recorded encounters

IC 241470 under ICR 202107-0935-004 · OMB 0935-0253.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.