OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Interview Guide

IC 237208 under ICR 202206-0920-009 · OMB 0920-1274.

Documents and Forms
Document Name
Document Type
Other-Interview Guide
Other-Interview Guide
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Interview Guide
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Guide 19TG Att 2b. Comms Interview Guide Final.docx Yes No Paper Only
Form and Instruction 0920-1274 Interview Guide: Million Hearts® Hospital or Health System Recognition Program JUL2022 1274 Att 2c Interview Gde.docx NA No   Paper Only

Health Health Care Services

 

30 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 30 0 -30 0 0 60
Annual IC Time Burden (Hours) 15 0 -15 0 0 30
Annual IC Cost Burden (Dollars) 806 0 -805 0 0 1,611

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.