Qualitative, semi-structured interviews with AIM Team Leads

Safety Program in Perinatal Care (SPPC)-II Demonstration Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:

Documents and Forms

Document Name Document Type
Form J1 Qualitative, semi-structured interviews with AIM Team Leads Form and Instruction
J1 Attachment J1 Interview guide for qualitative interviews Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx Form and Instruction
J2 Attachment J2 Interview guide for qualitative interviews Appendix J2_NEW_Interview Guide 15_16 mos_06042020_clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Qualitative, semi-structured interviews with AIM Team Leads	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
Form and Instruction	J1	Attachment J1 Interview guide for qualitative interviews with AIM Team Leads, 3-4mo (revised)	Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx		No		Paper Only
Form and Instruction	J2	Attachment J2 Interview guide for qualitative interviews with AIM Team Leads, 15-16mo (new)	Appendix J2_NEW_Interview Guide 15_16 mos_06042020_clean.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	5	25
Annual IC Time Burden (Hours)	30	5	25
Annual IC Cost Burden (Dollars)	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.