OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Valuing Reduced Asthma Episodes For Adults And Children -- Focus Groups

IC 179165 under ICR 200703-2010-001 · OMB 2010-0041.

Documents and Forms
Document Name
Document Type
Other-Focus Group Survey Instrument
Other-Focus Group Survey Instrument
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Valuing Reduced Asthma Episodes For Adults And Children -- Focus Groups
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Focus Group Survey Instrument Adult version Asthma survey.doc Yes Yes Fillable Printable
Other-Focus Group Survey Instrument 2 Child version Asthma survey.doc Yes Yes Fillable Printable
Instruction Focus Group Topics.doc No No Paper Only

Environmental Management Pollution Prevention and Control

 

50 0
   
Individuals or Households
 
   50 %

  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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.