Focus Group with AI/AN Community Members with Prior MI

Research to Reduce Time to Treatment for Heart Attack/Myocardial Infarction for Rural American Indians/Alaska Natives (AI/AN)

Documents and Forms

Document Name Document Type
Att 5A. Discussion Guide MI Group.doc Other-Focus Group Discussion Guide f
Att 5B. Supplement for Discussion Guide MI Group.doc Supplement for MI Discussion Group IC Document

Information Collection (IC) Details

IC Title:	Focus Group with AI/AN Community Members with Prior MI	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
Other-Focus Group Discussion Guide for Prior MI			Att 5A. Discussion Guide MI Group.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supplement for MI Discussion Group	Att 5B. Supplement for Discussion Guide MI Group.doc	07/16/2008

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