Information Collection

Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#4)

IC 194814 under ICR 201008-0925-004 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 #3_Nurses Study_Attach A3-5, A7, A9 Discuss Guides Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#4)	Form and Instruction
Form 2 #4_Rev_Attach B2, B3, B4, and B5_Genomics Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#4)	Form and Instruction
1 #3_Nurses Study_Attach A3-5, A7, A9 Discuss Guides #3_Rev_Nurses Study_Attach A3, A4, A5, A7, A9 Disc Guides.docx	Form and Instruction
2 #4_Rev_Attach B2, B3, B4, and B5_Genomics #4_Rev_Attach B2, B3, B4, and B5_Genomics.docx	Form and Instruction
Revised_Memo to OMB_Key To Bundled Pkg.doc Revised_Memo to OMB_Key To Bundled Pkg	IC Document
GC_Summary Sub-Study Form_0925-0046-03 and -04.doc GC_Summary Sub-Study Form_0925-0046-03 and -04	IC Document
#4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7.doc #4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7	IC Document
#3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8.doc #3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	#3_Nurses Study_Attach A3-5, A7, A9 Discuss Guides	#3_Rev_Nurses Study_Attach A3, A4, A5, A7, A9 Disc Guides.docx		Yes	Yes	Printable Only
Form and Instruction	2	#4_Rev_Attach B2, B3, B4, and B5_Genomics	#4_Rev_Attach B2, B3, B4, and B5_Genomics.docx		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0156, Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD

FR Citation: 67 FR 60743

Number of Respondents: 211

Number of Respondents for Small Entity: 20

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

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	211	0	0	0	0	0
Annual IC Time Burden (Hours)	184	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
Revised_Memo to OMB_Key To Bundled Pkg	Revised_Memo to OMB_Key To Bundled Pkg.doc	10/05/2010
GC_Summary Sub-Study Form_0925-0046-03 and -04	GC_Summary Sub-Study Form_0925-0046-03 and -04.doc	10/05/2010
#4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7	#4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7.doc	10/05/2010
#3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8	#3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8.doc	10/05/2010

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