Qualitative, semi-structured interviews with AIM Team Leads

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

Documents and Forms

Document Name Document Type
Form J3 Qualitative, semi-structured interviews with AIM Team Leads Form and Instruction
J3 Attachment J1 Interview guide for qualitative interviews Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx Form and Instruction
J3 Attachment J1 Interview guide for qualitative interviews Appendix J1_revised_Interview Guide 3_4 mos_06042020-clean.docx Form and Instruction
J5 Attachment J5 Handout 2 listing Tier 1 online modules (n Appendix J5-Handout 1 List of Tier 2 Toolkit.docx Form and Instruction
J5 Attachment J5 Handout 2 listing Tier 1 online modules (n Appendix J5-Handout 1 List of Tier 2 Toolkit.docx Form and Instruction
J6 Attachment J6 Interview guide for FGDs with AIM Team Lea Appendix J6-Handout 2 Online Modules.docx Form and Instruction
J6 Attachment J6 Interview guide for FGDs with AIM Team Lea Appendix J6-Handout 2 Online Modules.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	Available Electronically?	Electronic Capability
Form and Instruction	J3	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	J5	Attachment J5 Handout 2 listing Tier 1 online modules (new)	Appendix J5-Handout 1 List of Tier 2 Toolkit.docx	No	Paper Only
Form and Instruction	J6	Attachment J6 Interview guide for FGDs with AIM Team Leads & frontline staff (summer/fall 2022, new)	Appendix J6-Handout 2 Online Modules.docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	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	8	-22	30
Annual IC Time Burden (Hours)	8	-22	30
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.