Semi-structured Interviews with Health System Decision Makers

Evaluation of ARRA Comparative Effectiveness Research Dissemination Contractor Efforts

Documents and Forms

Document Name Document Type
Form #9 Semi-structured Interviews with Health System Decision Makers Form and Instruction
#9 Focus Group Moderator Guide for Decision Makers Attachment M -- Focus Group Moderator Guide for Decision Makers.doc Form and Instruction
Attachment P -- Focus Group Moderator Respondent materials for Health Care System.doc Focus Group Moderator Respondent materials for Health Care System IC Document

Information Collection (IC) Details

IC Title:	Semi-structured Interviews with Health System Decision Makers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	#9	Focus Group Moderator Guide for Decision Makers	Attachment M -- Focus Group Moderator Guide for Decision Makers.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Moderator Respondent materials for Health Care System	Attachment P -- Focus Group Moderator Respondent materials for Health Care System.doc	03/19/2012

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