Advocacy Organization Interviews

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (OD/OER)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Advocacy Organization Interviews Form and Instruction
1 Advocate Interview Guide Appendix A_Advocate Interview Guide.docx Form and Instruction
Appendix C_Advocate NOVA Email Invite.docx Appendix C_Advocate NOVA Email Invite IC Document
Advocacy Orgs Interviews_Fast Track FormV2.doc Advocacy Orgs Interviews_Fast Track FormV2 IC Document
Appendix B_Advocate NIH Letter.docx Appendix B_Advocate NIH Letter IC Document
Appendix D_Advocate Email Thank You.docx Appendix D_Advocate Email Thank You IC Document

Information Collection (IC) Details

IC Title:	Advocacy Organization Interviews	Agency IC Tracking Number:

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	1	Advocate Interview Guide	Appendix A_Advocate Interview Guide.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	18	0	0	0	0	0
Annual IC Time Burden (Hours)	9	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix C_Advocate NOVA Email Invite	Appendix C_Advocate NOVA Email Invite.docx	05/07/2013
Advocacy Orgs Interviews_Fast Track FormV2	Advocacy Orgs Interviews_Fast Track FormV2.doc	05/07/2013
Appendix B_Advocate NIH Letter	Appendix B_Advocate NIH Letter.docx	05/07/2013
Appendix D_Advocate Email Thank You	Appendix D_Advocate Email Thank You.docx	05/07/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.