Key Informant Interview Guide_PH/MH Agency Staff

Public Health Systems, Mental Health and Community Recovery Project

Documents and Forms

Document Name Document Type
Attachment E_Key Informant Interview Guide_ PHMH Agency Staff.docx Other-Key Informant Interview Guide_
Attachment C_ Key Informant Interview_ Introductory Letter.docx Other-Interview Guide
Key Informant Interview Guide_Consent Form Attachment G_Key Informant Interview Guide_Consent Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Key Informant Interview Guide_PH/MH Agency Staff	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Key Informant Interview Guide_PH/MH Agency Staff			Attachment E_Key Informant Interview Guide_ PHMH Agency Staff.docx	Yes	No	Printable Only
Other-Interview Guide			Attachment C_ Key Informant Interview_ Introductory Letter.docx	Yes	No	Printable Only
Form and Instruction	None	Key Informant Interview Guide_Consent Form	Attachment G_Key Informant Interview Guide_Consent Form.docx	Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 53

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

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.