Information Collection

Health Care Consumer Focus Groups

IC 187251 under ICR 200811-0920-003 · OMB 0920-0801.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0801 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att D_Moderator Guide_HCC -FG_103008.doc	Other-WORD
Attachment D1 Consumer Informed Consent.doc Attachment D1 Consumer Informed Consent	IC Document

IC Title:

Health Care Consumer Focus Groups

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-WORD			Att D_Moderator Guide_HCC -FG_103008.doc		No	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

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 Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	144	144
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment D1 Consumer Informed Consent	Attachment D1 Consumer Informed Consent.doc	11/05/2008

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