Information Collection

Qualitative Assessment of Mothers' Attitudes ... National Birth Defects Prevention Study - Focus Group Moderator's Guide

IC 46391 under ICR 200612-0920-002 · OMB 0920-0737.

Documents and Forms

Document Name Document Type
Form None assigned Qualitative Assessment of Mothers' Attitudes ... National Birth Defects Prevention Study - Focus Group Moderator's Guide Form and Instruction
None assigned Appendix I Moderators Guide_Participator rev 10-27-06 Appendix I Moderators Guide_Participator rev 10-27-06.doc Form and Instruction
None assigned Appendix J Moderators Guide_Nonparticpator rev10-27-06 Appendix J Moderators Guide_Nonparticpator rev10-27-06.doc Form and Instruction
Appendix B Battelle Phone Script rev 10-30-06.doc Appendix B Battelle Phone Script rev 10-30-06 IC Document
Appendix C Letter from Battelle rev 10-27-06.doc Appendix C Letter from Battelle rev 10-27-06 IC Document
Appendix D Scheduler Phone Script rev 10-30-06.doc Appendix D Scheduler Phone Script rev 10-30-06 IC Document
Appendix E Focus Group Letter 10-30-06.doc Appendix E Focus Group Letter 10-30-06 IC Document
Appendix G Reminder Script rev 10-30-06.doc Appendix G Reminder Script rev 10-30-06 IC Document
Appendix H Onsite Re-screen.doc Appendix H Onsite Re-screen IC Document
Appendix F Focus Group Consent Form rev 10-27-06.doc Appendix F Focus Group Consent Form rev 10-27-06 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Qualitative Assessment of Mothers' Attitudes ... National Birth Defects Prevention Study - Focus Group Moderator's Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR Part B.247b-4 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None assigned	Appendix I Moderators Guide_Participator rev 10-27-06	Appendix I Moderators Guide_Participator rev 10-27-06.doc		Yes	Yes	Printable Only
Form and Instruction	None assigned	Appendix J Moderators Guide_Nonparticpator rev10-27-06	Appendix J Moderators Guide_Nonparticpator rev10-27-06.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix B Battelle Phone Script rev 10-30-06	Appendix B Battelle Phone Script rev 10-30-06.doc	11/20/2006
Appendix C Letter from Battelle rev 10-27-06	Appendix C Letter from Battelle rev 10-27-06.doc	11/20/2006
Appendix D Scheduler Phone Script rev 10-30-06	Appendix D Scheduler Phone Script rev 10-30-06.doc	11/20/2006
Appendix E Focus Group Letter 10-30-06	Appendix E Focus Group Letter 10-30-06.doc	11/20/2006
Appendix G Reminder Script rev 10-30-06	Appendix G Reminder Script rev 10-30-06.doc	11/20/2006
Appendix H Onsite Re-screen	Appendix H Onsite Re-screen.doc	11/20/2006
Appendix F Focus Group Consent Form rev 10-27-06	Appendix F Focus Group Consent Form rev 10-27-06.doc	11/20/2006

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