View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Key Informant Interviews for Adapting the Plan A Program for Special Populations	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
Other-interview guide, script, questions			Interview and Discussion Guide_Final.docx		Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	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	32	0	32	0	0	0
Annual IC Time Burden (Hours)	48	0	48	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo for Key Informant Interviews Plan A	0990-0379 MEMO_FastTrack Generic Clearance Submission Template_Sentient_Research_FINAL.docx	12/03/2024

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