Information Collection

Tribal Continuous Quality Improvement Collaboratives Process Study

IC 248283 under ICR 202205-0970-001 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1 - THV CQICs Process Study Survey_FINAL_6.21.21 CLEAN.docx	Other-Survey
Instrument 1 - THV CQICs Process Study Survey_FINAL_6.21.21 CLEAN.docx	Other-Survey
Generics Supporting Statement A - THV CQICs Process Study 6.9.21 CLEAN.docx SSA - Formative Generic Program Support - THV CQICs Process Study	IC Document
Generics Supporting Statement A - THV CQICs Process Study 6.9.21 CLEAN.docx SSA - Formative Generic Program Support - THV CQICs Process Study	IC Document
Generics Supporting Statement B - THV CQICs Process Study 6.9.21 - CLEAN.docx SSB - Formative Generic Program Support - THV CQICs Process Study	IC Document
Generics Supporting Statement B - THV CQICs Process Study 6.9.21 - CLEAN.docx SSB - Formative Generic Program Support - THV CQICs Process Study	IC Document
Appendix A - THV CQICs Process Study Survey Invitation Email 6.9.21 CLEAN.docx Appendix A - THV CQICs Process Study Survey Invitation Email	IC Document
Appendix A - THV CQICs Process Study Survey Invitation Email 6.9.21 CLEAN.docx Appendix A - THV CQICs Process Study Survey Invitation Email	IC Document

IC Title:

Tribal Continuous Quality Improvement Collaboratives Process Study

Agency IC Tracking Number:

OPRE

IC Status: Unchanged

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
Other-Survey			Instrument 1 - THV CQICs Process Study Survey_FINAL_6.21.21 CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Formative Generic Program Support - THV CQICs Process Study	Generics Supporting Statement A - THV CQICs Process Study 6.9.21 CLEAN.docx	07/08/2021
SSB - Formative Generic Program Support - THV CQICs Process Study	Generics Supporting Statement B - THV CQICs Process Study 6.9.21 - CLEAN.docx	07/08/2021
Appendix A - THV CQICs Process Study Survey Invitation Email	Appendix A - THV CQICs Process Study Survey Invitation Email 6.9.21 CLEAN.docx	07/08/2021

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