Focus Group Guide

Development of an Electronic System for Reporting Medication Errors and Adverse Drug Events in Primary Care Practice (MEADERS)

Documents and Forms

Document Name Document Type
Form 1 Focus Group Guide Form and Instruction
1 Focus Group Guide and Questions MEADERS FOCUS GROUP GUIDE.doc Form and Instruction
1 FOCUS GROUP GUIDE final.doc FOCUS GROUP GUIDE final.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Focus Group 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
Form and Instruction	1	Focus Group Guide and Questions	MEADERS FOCUS GROUP GUIDE.doc		Yes	Yes	Paper Only
Form and Instruction	1	FOCUS GROUP GUIDE final.doc	FOCUS GROUP GUIDE final.doc		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

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.