Phone Interview Questions for Point of Contact at Host Institutions

Process Evaluation of the NIH Director's Early Independence Award Program (EIA)

Documents and Forms

Document Name Document Type
Form Attachment A7 Phone Interview Questions for Point of Contact at Host Institutions Form and Instruction
Attachment A7 Phone Interview Questions for Host Institutes Attachment A.7 - Phone Interview Point of Contact Host Institution.doc Form and Instruction
Attachment B.4.2 - Protocol Phone Interview POC Host Institution.doc Protocols for Phone Interviews IC Document

Information Collection (IC) Details

IC Title:	Phone Interview Questions for Point of Contact at Host Institutions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Attachment A7	Phone Interview Questions for Host Institutes	Attachment A.7 - Phone Interview Point of Contact Host Institution.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD	FR Citation: 67 FR 60742

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24	12	12
Annual IC Time Burden (Hours)	24	12	12
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Protocols for Phone Interviews	Attachment B.4.2 - Protocol Phone Interview POC Host Institution.doc	09/26/2012

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