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PCNASP Interview Guides - Coverdell Quality Improvement Specialist
[NCCDPHP] Paul Coverdell National Acute Stroke Program (2015-2020) Assessment
OMB: 0920-1233
IC ID: 231175
OMB.report
HHS/CDC
OMB 0920-1233
ICR 202209-0920-011
IC 231175
( )
Documents and Forms
Document Name
Document Type
Form 0920-1233
PCNASP Interview Guides - Coverdell Quality Improvement Specialist
Form and Instruction
0920-1233 PCNASP Interview Guide - Coverdell Quality Improvement S
A3. Interview Guide to CDC_08-03-22_QI.docx
Form and Instruction
0920-1233 PCNASP Interview Guide - Coverdell Quality Improvement S
A3. Interview Guide to CDC_08-03-22_QI.docx
Form and Instruction
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IC Title:
PCNASP Interview Guides - Coverdell Quality Improvement Specialist
Agency IC Tracking Number:
0920-1233
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
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Form No.
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Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-1233
PCNASP Interview Guide - Coverdell Quality Improvement Specialist
A3. Interview Guide to CDC_08-03-22_QI.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
13
0
13
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.