Information Collection

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

IC 234568 under ICR 202501-0935-001 · OMB 0935-0179.

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
Form 1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews	Form and Instruction
Form 2 HSPCR Interview Guide: Researchers in HSR and PCR 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

IC Status: Removed

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				No		Paper Only
Form and Instruction	2				No		Paper Only

Federal Enterprise Architecture Business Reference Module

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
	Program Change Due to Agency Discretion	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		12/19/2018
Project Information Sheet		12/19/2018
Cover Letter		12/19/2018
Supporting Statement		12/21/2018

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

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