Appendix B1. HSA Interview Guide

Evaluation of Learning Health Systems K12 Training Program

OMB: 0935-0255

IC ID: 242176

Information Collection (IC) Details

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Appendix B1. HSA Interview Guide
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form B1 Appendix B1. HSA Interview Guide Appendix B1. HSA Discussion Guide_5-18-20.docx Yes Yes Fillable Printable

Health Health Care Services

 

39 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  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 39 0 39 0 0 0
Annual IC Time Burden (Hours) 39 0 39 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B2. HSA Invitation Email Appendix B2. HSA Invitation Email.docx 06/05/2020
Appendix B3. HSA Study Description/FAQs Appendix B3. HSA FAQs.docx 06/05/2020
Appendix B4. HSA Invitation Reminder Email Appendix B4. HSA Invitation Reminder Email.docx 06/05/2020
Appendix B5. HSA Telephone Recruitment Script Appendix B5. HSA Recruitment Telephone Script.docx 06/05/2020
Appendix B6. HSA Scheduling Email Appendix B6. HSA Scheduling Email.docx 06/05/2020
Appendix B7. HSA Confirmation Email Appendix B7. HSA Confirmation Email.docx 06/05/2020
Appendix B8. HSA Reminder Email Appendix B8. HSA Interview Reminder Email.docx 06/05/2020
Appendix B9. HSA Reminder Telephone Script Appendix B9. HSA Reminder Telephone Script.docx 06/05/2020
Appendix B10. HSA Thank-You Email Appendix B10. HSA Thank You Email.docx 06/05/2020
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