The Workforce Program Organizational Assessment Interview Protocol

Evaluation of Programs Supporting the Mental Health of the Health Professions Workforce

Documents and Forms

Document Name Document Type
6. The Workforce Program Org Assessment Interview Guide__6.5.23_clean.docx Other-Virtual Interview Guide

Information Collection (IC) Details

IC Title:	The Workforce Program Organizational Assessment Interview Protocol	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Virtual Interview Guide			6. The Workforce Program Org Assessment Interview Guide__6.5.23_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
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.