Focus Groups with Senior Center Staff/Administrators

Testing successful health communications surrounding aging-related issues from the National Institute on Aging (NIA)

Documents and Forms

Document Name Document Type
Form 1 Focus Groups with Senior Center Staff/Administrators Form
1 Pre questionaire NIA pre-focus group questionnaire-2.docx Form
2 questionaire NIA Focus Group Question Guide-2.docx Form
senior center focus group generic_clearance_form-3.doc senior center focus group generic_clearance_form-3 IC Document
NIA mini supporting to omb--senior center project-2.doc NIA mini supporting to omb--senior center project-2 IC Document

Information Collection (IC) Details

IC Title:	Focus Groups with Senior Center Staff/Administrators	Agency IC Tracking Number:

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
Form	1	Pre questionaire	NIA pre-focus group questionnaire-2.docx		Yes	Yes	Fillable Fileable
Form	2	questionaire	NIA Focus Group Question Guide-2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	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	54	0	0	0	0	0
Annual IC Time Burden (Hours)	45	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
senior center focus group generic_clearance_form-3	senior center focus group generic_clearance_form-3.doc	08/12/2011
NIA mini supporting to omb--senior center project-2	NIA mini supporting to omb--senior center project-2.doc	08/12/2011

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