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Moderator's Guide
Testing and Development of Materials Promoting Prevention and Control of Traumatic Brain Injury in Schools
OMB: 0920-0811
IC ID: 188040
OMB.report
HHS/CDC
OMB 0920-0811
ICR 200908-0920-004
IC 188040
( )
Documents and Forms
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
Information Collection (IC) Details
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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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.