Information Collection

Focus Group Participant -Generic #4

IC 192815 under ICR 200808-0990-001 · OMB 0990-0281.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0281 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Card Sort Moderator Guide_0990_0281_#4.doc	Other-Focus Group Participant
Participant Screener_0900-0281_#4 Spanish.doc	Other-Spanish Letter
Usablity Moderators Guide_0990-0281_#4.doc	Other-Guide
Paper Prototype Testing Moderator Guide_0990-0281_#4.doc	Other-letter
OMB Memo 0990-0281_#4 Spanish docx.doc OMB Memo 0990-0281_#4 Spanish docx	IC Document

IC Title:

Focus Group Participant -Generic #4

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Participant	Card Sort Moderator Guide_0990_0281_#4.doc	No	No	Paper Only
Other-Spanish Letter	Participant Screener_0900-0281_#4 Spanish.doc	No	No	Paper Only
Other-Guide	Usablity Moderators Guide_0990-0281_#4.doc	No	No	Paper Only
Other-letter	Paper Prototype Testing Moderator Guide_0990-0281_#4.doc	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 440

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	440	0	0	0	0	0
Annual IC Time Burden (Hours)	597	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 0990-0281_#4 Spanish docx	OMB Memo 0990-0281_#4 Spanish docx.doc	05/03/2010

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