Caregivers - Focus Group

Assessment and Evaluation of the Role of Care Coordination (Case Management) in Improving Access and Care within the Spina Bifida Clinic System

Documents and Forms

Document Name Document Type
Caregivers - Focus Group Form and Instruction
Focus Group Moderators Guide Attachment C1-Focus Group Moderators Guide.doc Form and Instruction
Att C6 and C8--Focus Group Confirmation and Consent.doc Focus Group Consent and Confirmation Letters IC Document

Information Collection (IC) Details

IC Title:	Caregivers - Focus Group	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
Form and Instruction	None	Focus Group Moderators Guide	Attachment C1-Focus Group Moderators Guide.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	80	80
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Consent and Confirmation Letters	Att C6 and C8--Focus Group Confirmation and Consent.doc	06/17/2007

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