Information Collection

Manager Consent and Interview

IC 228958 under ICR 202204-0920-004 · OMB 0920-1227.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Manager Consent and Interview	Form and Instruction
Manager consent and interview P_Att 3 Manager InfrmdCnsnt Intrvw 201211.docx	Form and Instruction
Manager consent and interview P_Att 3 Manager InfrmdCnsnt Intrvw 201211.docx	Form and Instruction
0920-1227 Consent to Participate in Human Research Study P_Att 3a Manager InfrmdCnsnt Intrvw_220328.docx	Form and Instruction
0920-1227 Consent to Participate in Human Research Study P_Att 3a Manager InfrmdCnsnt Intrvw_220328.docx	Form and Instruction
Att 6 Manager Interview Marking Guide.docx Interview Marking Guide	IC Document
Att 6 Manager Interview Marking Guide.docx Interview Marking Guide	IC Document

IC Title:

Agency IC Tracking Number:

0920-1227-22ED

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	none	Manager consent and interview	P_Att 3 Manager InfrmdCnsnt Intrvw 201211.docx		Yes	No	Paper Only
Form and Instruction	0920-1227	Consent to Participate in Human Research Study	P_Att 3a Manager InfrmdCnsnt Intrvw_220328.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 27

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	106	106
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Interview Marking Guide	Att 6 Manager Interview Marking Guide.docx	11/08/2017

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