Information Collection

Key Informant Interviews for Adapting the Plan A Program for Special Populations

IC 272790 under ICR 202409-0990-001 · OMB 0990-0379.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview and Discussion Guide_Final.docx	Other-interview guide, script, quest
0990-0379 MEMO_FastTrack Generic Clearance Submission Template_Sentient_Research_FINAL.docx Fast Track Memo for Key Informant Interviews Plan A	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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
Other-interview guide, script, questions					Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo for Key Informant Interviews Plan A		12/03/2024

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

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