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Key Informant Interview Guide_Community Organization Respondents
Public Health Systems, Mental Health and Community Recovery Project
OMB: 0920-0993
IC ID: 208427
OMB.report
HHS/CDC
OMB 0920-0993
ICR 201403-0920-001
IC 208427
( )
Documents and Forms
Document Name
Document Type
Attachment C_ Key Informant Interview_ Introductory Letter.docx
Other-Interview Guide
Attachment F_ Key Informant Interview Guide_ Community Organization Respondents.docx
Other-Key Informant Interview Guide_
Key Informant Interview Guide_Consent Form
Attachment G_Key Informant Interview Guide_Consent Form.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Key Informant Interview Guide_Community Organization Respondents
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
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
Other-Key Informant Interview Guide_Community Organization Respondent
Attachment F_ Key Informant Interview Guide_ Community Organization Respondents.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
45
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
45
0
0
0
0
45
Annual IC Time Burden (Hours)
45
0
0
0
0
45
Annual IC Cost Burden (Dollars)
0
0
0
0
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.