Information Collection

Interviews with National Hypertension Control Initiative (NHCI) Group 2 Participants

IC 260916 under ICR 202306-0915-006 · OMB 0915-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NHCI Interview Guide_Final for Fast Track Application.docx	Instruction
NHCI Interview Guide_Final for Fast Track Application.docx	Instruction
fast-track-PRA-submission-short-form-3_NHCI_10.31.22.docx Fast Track Memo	IC Document
fast-track-PRA-submission-short-form-3_NHCI_10.31.22.docx Fast Track Memo	IC Document

IC Title:

Interviews with National Hypertension Control Initiative (NHCI) Group 2 Participants

Agency IC Tracking Number:

IC Status: New

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
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

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: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo		06/29/2023

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

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