OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Interview Planning Tool

IC 195050 under ICR 201010-0920-010 · OMB 0920-0876.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Interview Planning Tool
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Interview Planning Tool Attachment 7a Interview Planning Tool.doc No No Paper Only

Health Illness Prevention

 

24 0
   
State, Local, and Tribal Governments
 
   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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 7c - FAQ Attachment 7c Case Study FAQs for CPPW-Affordable Care Act Sites.doc 10/22/2010
Att 7b - Introductory Letter Attachment 7b CPPW Case Study Introductory Letter.doc 10/22/2010
Att 7d - Introductory Email Attachment 7d Introductory e-mail to schedule site visit preparatory call.doc 10/22/2010
Att 7e - Script for Preparatory Call Attachment 7e Site Visit Preparatory Call.doc 10/22/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.