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Qualitative Study of Factors that Influence Healthcare Seeking in Pilots: Enrollment and Interviews

IC 262831 under ICR 202310-0701-002 · OMB 0701-0172.

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

View Information Collection (IC)

Qualitative Study of Factors that Influence Healthcare Seeking in Pilots: Enrollment and Interviews
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Survey 0701-TPHB_Qualtrics Enrollment Screener.docx Yes Yes Fillable Fileable
Other-Interview Guide 0701-TPHB_semi-structured interview guide.docx Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

100 0
   
Individuals or Households
 
   100 %

  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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 80 0 80 0 0 0
Annual IC Cost Burden (Dollars) 4,000 0 4,000 0 0 0

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.