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Semi-structured interviews
Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT
OMB: 0935-0180
IC ID: 197288
OMB.report
HHS/AHRQ
OMB 0935-0180
ICR 201104-0935-005
IC 197288
( )
Documents and Forms
Document Name
Document Type
Form Form #1
Semi-structured interviews
Form and Instruction
Form #1 Key Informant Interview Guide
Attachment B -- Key Informant Interview Guide.docx
Form and Instruction
Attachment C -- Invitation Letter.doc
Attachment C -- Invitation Letter
IC Document
Attachment D -- Confirmation Letter.docx
Attachment D -- Confirmation Letter
IC Document
Attachment E -- Thank You Letter.doc
Attachment E -- Thank You Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Semi-structured interviews
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 #1
Key Informant Interview Guide
Attachment B -- Key Informant Interview Guide.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
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
15
0
15
0
0
0
Annual IC Time Burden (Hours)
23
0
23
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment C -- Invitation Letter
Attachment C -- Invitation Letter.doc
04/04/2011
Attachment D -- Confirmation Letter
Attachment D -- Confirmation Letter.docx
04/04/2011
Attachment E -- Thank You Letter
Attachment E -- Thank You Letter.doc
04/04/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.