Information Collection

Moderator's Guide

IC 188040 under ICR 200908-0920-004 · OMB 0920-0811.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Moderator's Guide	Form and Instruction
2 Interview Guide: Concept Testing for TBI Education Mater Attachment 3_ Mod Guide_HlthProf.09-0121.doc	Form and Instruction
Attachment 3- Moderators Guide for In-Depth Interview for Nurses Counselors and Teachers 09-0811.final.doc Revised Moderator's Guide	IC Document

IC Title:

Moderator's Guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	2	Interview Guide: Concept Testing for TBI Education Materials (Interviews with School Health Professionals)	Attachment 3_ Mod Guide_HlthProf.09-0121.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revised Moderator's Guide	Attachment 3- Moderators Guide for In-Depth Interview for Nurses Counselors and Teachers 09-0811.final.doc	08/20/2009

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