Semi-structured program stakeholder interview protocol

NHE Demo Opioid Evaluation

Documents and Forms

Document Name Document Type
Administrator and Staff_Interview Protocol_COVID_updated.docx Other-Interview Protocol
Administrator and Staff_Interview Protocol_COVID_updated.docx Other-Interview Protocol
Administrator and Staff_Interview Protocol_COVID_updated.docx Semi-structure program stakeholder interview protocol IC Document

Information Collection (IC) Details

IC Title:	Semi-structured program stakeholder interview protocol	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Protocol			Administrator and Staff_Interview Protocol_COVID_updated.docx		No		Fillable Printable
Other-Interview Protocol			Administrator and Staff_Interview Protocol_COVID_updated.docx		No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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 Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Semi-structure program stakeholder interview protocol	Administrator and Staff_Interview Protocol_COVID_updated.docx	11/16/2020

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