CQM Partner Site-Level Interview

National Evaluation of the DP18-1815 Cooperative Agreement Program: Category B, Cardiovascular Disease Prevention and Management

OMB: 0920-1311

IC ID: 241435

Information Collection (IC) Details

View Information Collection (IC)

CQM Partner Site-Level Interview
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CQM Partner Site-level Interview Guide Att 4c. CQM Partner Site Interview Guide.docx No   Paper Only

Health Public Health Monitoring

 

15 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 945 0 0 0 0 945

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

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