Virtual Human Service Delivery under COVID-19: Scan of Implementation and Lessons Learned

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Document Name Document Type
Form 0 Virtual Human Service Delivery under COVID-19: Scan of Implementation and Lessons Learned Form
0 Demographic Questionnaire Attachment C - Demographic Questionnaire 6-1-20.docx Form
Cover sheet for OMB Generic Clearance-Virtual Human Services_6-1-20 (1).docx memo IC Document
Attachment B - Semi-Structured Discussion Guides and Consent Scripts 6-1-20 (1).docx Consent and guidance IC Document
Attachment A - Recruitment Email 6-1-20.docx Recruitment email IC Document
SupportingStatement B - ASPE Generic_Virtual_Human_Services_Delivery 6-1-20 (2).docx SS-B IC Document
SS-A Generic_Virtual_Human_Services_Delivery 6_4_20.docx SS-A IC Document

Information Collection (IC) Details

IC Title:	Virtual Human Service Delivery under COVID-19: Scan of Implementation and Lessons Learned	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	0	Demographic Questionnaire	Attachment C - Demographic Questionnaire 6-1-20.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 114	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	114	114
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	Cover sheet for OMB Generic Clearance-Virtual Human Services_6-1-20 (1).docx	06/04/2020
Consent and guidance	Attachment B - Semi-Structured Discussion Guides and Consent Scripts 6-1-20 (1).docx	06/04/2020
Recruitment email	Attachment A - Recruitment Email 6-1-20.docx	06/04/2020
SS-B	SupportingStatement B - ASPE Generic_Virtual_Human_Services_Delivery 6-1-20 (2).docx	06/04/2020
SS-A	SS-A Generic_Virtual_Human_Services_Delivery 6_4_20.docx	06/04/2020

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