Key Informant interview-Community Health Workers

OS Think Cultural Health

Documents and Forms

Document Name Document Type
0990-0407Appendix F - TCH Key Informant Interview Protocol (Community Health Workers)(12.2.15).pdf Other-interview
0990-0407Appendix F - TCH Key Informant Interview Protocol (Community Health Workers)(12.2.15).pdf Other-interview

Information Collection (IC) Details

IC Title:	Key Informant interview-Community Health Workers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Other-interview			0990-0407Appendix F - TCH Key Informant Interview Protocol (Community Health Workers)(12.2.15).pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-25	25
Annual IC Time Burden (Hours)	-25	25
Annual IC Cost Burden (Dollars)	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.