Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews Form and Instruction
1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR Interview Guide_HSPCR_Other Stakeholders_2018 12 18 v2.docx Form and Instruction
2 HSPCR Interview Guide: Researchers in HSR and PCR Interview Guide_HSPCR_Researchers_2018 12 18 v2.docx Form and Instruction
Email Recruitment template_Interview_HSPCR 2018 12 18.docx Email Recruitment template IC Document
Project Information Sheet_Interview_HSPCR_2018 12 18.docx Project Information Sheet IC Document
Cover Letter.doc Cover Letter IC Document
HSPCR Submission Form_2018 12 14.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Health Services and Primary Care Research (HSPCR) Study, Stakeholder 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	HSPCR Interview Guide: Other Stakeholders in HSR and PCR	Interview Guide_HSPCR_Other Stakeholders_2018 12 18 v2.docx		No		Paper Only
Form and Instruction	2	HSPCR Interview Guide: Researchers in HSR and PCR	Interview Guide_HSPCR_Researchers_2018 12 18 v2.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	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	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Email Recruitment template	Email Recruitment template_Interview_HSPCR 2018 12 18.docx	12/19/2018
Project Information Sheet	Project Information Sheet_Interview_HSPCR_2018 12 18.docx	12/19/2018
Cover Letter	Cover Letter.doc	12/19/2018
Supporting Statement	HSPCR Submission Form_2018 12 14.docx	12/21/2018

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