Air Force Embedded Provider Semi-Structured Interview Guide

Air Force Embedded Care Access Interview Guide

Documents and Forms

Document Name Document Type
Air Force Embedded Provider Semi-Structured Interview Guide_revised 15 March 21 (1).docx Other-Survey
Air Force Embedded Provider Semi-Structured Interview Guide_revised 15 March 21 (1).docx Other-Survey

Information Collection (IC) Details

IC Title:	Air Force Embedded Provider Semi-Structured Interview Guide	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
Other-Survey			Air Force Embedded Provider Semi-Structured Interview Guide_revised 15 March 21 (1).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	2,250	2,250

Documents for IC

Title	Document	Date Uploaded
No associated records found

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