Information Collection

Reinterview Study - Traditional Physician and CHC Staff

IC 235134 under ICR 202210-0920-012 · OMB 0920-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0234 Reinterview Study - Traditional Physician and CHC Staff Form
0920-0234 2020 Reinterview Instrument Att P1- 2020 Census Reinterview Instrument.docx Form
0920-0234 2020 Reinterview Instrument Att P1- 2020 Census Reinterview Instrument.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reinterview Study - Traditional Physician and CHC Staff	Agency IC Tracking Number:	0920-0234

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-0234	2020 Reinterview Instrument	Att P1- 2020 Census Reinterview Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20--0167 Health Resources Utilization Statistics	FR Citation: 49 FR 37697

Number of Respondents: 33	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-33	33
Annual IC Time Burden (Hours)	-8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.