Information Collection

Case Study Interview of DP13-1315 Partner

IC 226624 under ICR 202004-0920-020 · OMB 0920-1193.

Documents and Forms

Document Name Document Type
Case Study Interview of DP13-1315 Partner Form and Instruction
Case Study Interview Guide for DP13-1315 Partners Att 9b_Case Study Interview Guides for DP13-1315 Partners.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Study Interview of DP13-1315 Partner	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form and Instruction	N/A	Case Study Interview Guide for DP13-1315 Partners	Att 9b_Case Study Interview Guides for DP13-1315 Partners.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-2	2
Annual IC Time Burden (Hours)	-2	2
Annual IC Cost Burden (Dollars)	-77	77

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.