Information Collection

BCRS NELRP and NSP Focus Groups

IC 201538 under ICR 200904-0915-002 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BCRS NELRP and NSP Focus Groups	Form and Instruction
1 IDI Moderator Guide Nurses Administrators et al Creative IDI Moderator Guide Nurses Administrators et al Creative Exploratory.docx	Form and Instruction
2 In Person Moderator Guide Nurses Prospects Creative Expl In Person Moderator Guide Nurses Prospects Creative Exploratory.docx	Form and Instruction
3 Online Focus Group Guide Nursing Current Participants Online Focus Group Guide Nursing Current Participants.docx	Form and Instruction
4 Online Focus Group Guide Nursing Prospective Applicants Online Focus Group Guide Nursing Prospective Applicants.docx	Form and Instruction
Supporting Statement A.docx Supporting Statement	IC Document

IC Title:

BCRS NELRP and NSP Focus Groups

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	IDI Moderator Guide Nurses Administrators et al Creative Exploratory	IDI Moderator Guide Nurses Administrators et al Creative Exploratory.docx	Yes	No	Paper Only
Form and Instruction	2	In Person Moderator Guide Nurses Prospects Creative Exploratory	In Person Moderator Guide Nurses Prospects Creative Exploratory.docx	Yes	No	Paper Only
Form and Instruction	3	Online Focus Group Guide Nursing Current Participants	Online Focus Group Guide Nursing Current Participants.docx	Yes	No	Paper Only
Form and Instruction	4	Online Focus Group Guide Nursing Prospective Applicants	Online Focus Group Guide Nursing Prospective Applicants.docx	Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 104

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 57 %

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	104	0	0	0	0	0
Annual IC Time Burden (Hours)	186	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
Supporting Statement	Supporting Statement A.docx	03/12/2012

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