Peer Workers Interview

Identifying Core Competencies of Peer Workers in Behavioral Health Services

Documents and Forms

Document Name Document Type
Form Telephone Intervie Peer Workers Interview Form
Telephone Intervie Telephone Interview Attachment 2 Telephone Interview.docx Form
Attachment 5 Letter to Interview Participants.docx Letter to Interview Participants IC Document

Information Collection (IC) Details

IC Title:	Peer Workers Interview	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	Telephone Interview	Telephone Interview	Attachment 2 Telephone Interview.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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
Letter to Interview Participants	Attachment 5 Letter to Interview Participants.docx	10/09/2014

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