Clinic Coordinator Interview

[NCCDPHP] Evaluation of a Prostate Cancer Decision Aid

OMB: 0920-1438

IC ID: 269807

Information Collection (IC) Details

View Information Collection (IC)

Clinic Coordinator Interview 0920-24CB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24CB Clinic Coordinator Interviews_Interview Guide Attachment 11b_Clinic Coordinator Interviews_Interview Guide_English.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

4 0
   
Individuals or Households
 
   0 %

  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 4 0 4 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Clinic Coordinator Interviews_Consent Statement Attachment 11a_Clinic Coordinator Interviews_Consent Statement_English.docx 08/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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