Information Collection

Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews

IC 234568 under ICR 202310-0935-001 · OMB 0935-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews	Form and Instruction
1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR Interview Guide_HSPCR_Other Stakeholders_2018 12 18 v2.docx	Form and Instruction
1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR Interview Guide_HSPCR_Other Stakeholders_2018 12 18 v2.docx	Form and Instruction
2 HSPCR Interview Guide: Researchers in HSR and PCR Interview Guide_HSPCR_Researchers_2018 12 18 v2.docx	Form and Instruction
2 HSPCR Interview Guide: Researchers in HSR and PCR Interview Guide_HSPCR_Researchers_2018 12 18 v2.docx	Form and Instruction
Email Recruitment template_Interview_HSPCR 2018 12 18.docx Email Recruitment template	IC Document
Email Recruitment template_Interview_HSPCR 2018 12 18.docx Email Recruitment template	IC Document
Project Information Sheet_Interview_HSPCR_2018 12 18.docx Project Information Sheet	IC Document
Project Information Sheet_Interview_HSPCR_2018 12 18.docx Project Information Sheet	IC Document
Cover Letter.doc Cover Letter	IC Document
Cover Letter.doc Cover Letter	IC Document
HSPCR Submission Form_2018 12 14.docx Supporting Statement	IC Document
HSPCR Submission Form_2018 12 14.docx Supporting Statement	IC Document

IC Title:

Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	1	HSPCR Interview Guide: Other Stakeholders in HSR and PCR	Interview Guide_HSPCR_Other Stakeholders_2018 12 18 v2.docx		No		Paper Only
Form and Instruction	2	HSPCR Interview Guide: Researchers in HSR and PCR	Interview Guide_HSPCR_Researchers_2018 12 18 v2.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Recruitment template	Email Recruitment template_Interview_HSPCR 2018 12 18.docx	12/19/2018
Project Information Sheet	Project Information Sheet_Interview_HSPCR_2018 12 18.docx	12/19/2018
Cover Letter	Cover Letter.doc	12/19/2018
Supporting Statement	HSPCR Submission Form_2018 12 14.docx	12/21/2018

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