Information Collection

NSDUH: Focus Groups for Redesigned contact Materials

IC 190368 under ICR 200711-0930-002 · OMB 0930-0290.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Screening Protocol NSDUH: Focus Groups for Redesigned contact Materials	Form and Instruction
NSDUH_CM Attachment C - Focus Group Moderator's Guide2.doc	Instruction
Screening Protocol Screening Protocol NSDUH_CM Attachment A - Focus Group Recruitment and Screening Protocol2.doc	Form and Instruction
data user omb memo3.doc OMB Memo	IC Document
Contact Materials2.zip Contact Materials	IC Document
NSDUH_ContactMaterials_OMB Supporting Statement Contact Materials Focus Groups2.doc Supporting Statement	IC Document

IC Title:

NSDUH: Focus Groups for Redesigned contact Materials

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Screening Protocol	Screening Protocol	NSDUH_CM Attachment A - Focus Group Recruitment and Screening Protocol2.doc		Yes	No	Paper Only
Instruction			NSDUH_CM Attachment C - Focus Group Moderator's Guide2.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 210

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	210	0	0	0	0	0
Annual IC Time Burden (Hours)	357	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	data user omb memo3.doc	08/14/2009
Contact Materials	Contact Materials2.zip	08/14/2009
Supporting Statement	NSDUH_ContactMaterials_OMB Supporting Statement Contact Materials Focus Groups2.doc	08/14/2009

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