Form Approved
OMB NO: 0920-xxxx
Exp. Date: X/XX/XXXX
Public reporting burden of this collection of information is estimated at 1 hour and 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-xxxx).
Qualitative Data Collection – Interview Guide – DRAFT
Topic |
Interview Guide Items |
Purpose
|
To evaluate progress and challenges in implementing the Core SIPP program within the individual recipient-level context to inform tailored supports from CDC and partners.
Interview respondents: recipient Core SIPP teams will participate in small group interviews. Key partners may (or may not?) be included.
|
Technical Assistance (TA)
|
Consider your Core SIPP activities THIS FISCAL YEAR.
(Probe for concrete examples of ways TA has/has not been practical or actionable)
(Probe for topics, frequency, organization/agenda)
(Probe for topics, modes of delivery, frequency)
|
Disproportionately-Affected Populations/ Health Equity (HE)
|
Health Equity – General
Disproportionately-Affected Populations – Specific
[IF YES]
[IF NO]
|
Program Improvements
|
|
Risk/Protective Factors
|
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Willocks, Stacey Ann (CDC/DDNID/NCIPC/DIP) |
File Modified | 0000-00-00 |
File Created | 2021-11-01 |