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Semi-structured staff interviews - post-implementation
Development of the Guide to Patient and Family Engagement in Health Care Quality and Safety in the Hospital Setting
OMB: 0935-0176
IC ID: 196389
OMB.report
HHS/AHRQ
OMB 0935-0176
ICR 201102-0935-002
IC 196389
( )
Documents and Forms
Document Name
Document Type
Form Form #4
Semi-structured staff interviews - post-implementation
Form and Instruction
Form #4 Semi-Structured Staff Interview Post-Implementation Prot
Attachment H -- Semi-Structured Staff Interview Post-Implementation Protocol_020411.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Semi-structured staff interviews - post-implementation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form #4
Semi-Structured Staff Interview Post-Implementation Protocol
Attachment H -- Semi-Structured Staff Interview Post-Implementation Protocol_020411.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
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 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
24
0
24
0
0
0
Annual IC Time Burden (Hours)
24
0
24
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.