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

Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)

Documents and Forms

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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NHCI Interview Guide_Final for Fast Track Application.docx		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 %

	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

Title	Document	Date Uploaded
Fast Track Memo	fast-track-PRA-submission-short-form-3_NHCI_10.31.22.docx	06/29/2023

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