Information Collection

Discussion Groups

IC 198045 under ICR 201106-0935-004 · OMB 0935-0182.

Documents and Forms

Document Name Document Type
Form Form #4 Discussion Groups Form and Instruction
Form #4 Discussion Groups Interview Guide for Users Attachment E1 -- Discussion Groups Interview Guide for Users.docx Form and Instruction
Form #5 Discussion Groups Interview Guide for Non-Users Attachment E2 -- Discussion Groups Interview Guide for Non-Users.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Discussion Groups	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
Form and Instruction	Form #4	Discussion Groups Interview Guide for Users	Attachment E1 -- Discussion Groups Interview Guide for Users.docx		Yes	Yes	Paper Only
Form and Instruction	Form #5	Discussion Groups Interview Guide for Non-Users	Attachment E2 -- Discussion Groups Interview Guide for Non-Users.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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