Information Collection

Guide for Focus Group Discusion w/Frontline Staff

IC 195399 under ICR 201011-0990-007 · OMB 0990-0375.

Documents and Forms

Document Name Document Type
PPA Implementation Attachment F - Guide for Discussion with Frontline Staff and Others Delivering the Program - revised 3.17.11. Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Guide for Focus Group Discusion w/Frontline Staff	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Instruction			PPA Implementation Attachment F - Guide for Discussion with Frontline Staff and Others Delivering the Program - revised 3.17.11.doc		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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