Faculty Interview

Assessing the Knowledge and Educational Needs of Students of Health Professions on Patient-Centered Outcomes Research

Documents and Forms

Document Name Document Type
Form Form #1 Faculty Interview Form and Instruction
Form #1 Faculty Interview Attachment C -- Faculity Interview.docx Form and Instruction
Attachment D -- Invitation Email for Faculty Interviews.docx Attachment D -- Invitation Email for Faculty Interviews IC Document

Information Collection (IC) Details

IC Title:	Faculty Interview	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	Faculty Interview	Attachment C -- Faculity Interview.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	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 Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D -- Invitation Email for Faculty Interviews	Attachment D -- Invitation Email for Faculty Interviews.docx	04/15/2013

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