OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Conduct Focus Groups to Test Messages and Materials

IC 198466 under ICR 201106-0990-003 · OMB 0990-0376.

Documents and Forms
Document Name
Document Type
Other-study
Other-study
Other-study
Other-study
Other-study
Other-study
Other-study
Other-study
Other-study
Other-study
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Conduct Focus Groups to Test Messages and Materials
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-study Attachment A1 Screener for consumer focus groups non-English.doc No No Fillable Printable
Other-study Attachment A2 Screener for consumer focus groups caregivers.doc No No Fillable Printable
Other-study Attachment A3 Screener for consumer focus groups diabetes.doc No No Fillable Printable
Other-study Attachment B1 Screener for health professional focus groups.docx No No Fillable Printable
Other-study Attachment B2 Screener for health professionals nurses and PA groups.doc No No Fillable Printable
Other-study Attachment C Moderator Guide for consumer focus groups.docx No No Fillable Printable
Other-study Attachment D1 Moderator Guide for converted health professional group.doc No No Fillable Printable
Other-study Attachment D3 Moderator Guide for not planning health professional group.doc No No Fillable Printable
Other-study Attachment D2 Moderator Guide for planning health professional group.doc No No Fillable Printable
Other-study Attachment D4 Moderator Guide for health professionals nurses and PAs group.doc No No Fillable Printable

Health Illness Prevention

 

4,352 0
   
Individuals or Households
 
   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 4,352 0 0 0 0 0
Annual IC Time Burden (Hours) 1,088 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IC HITECH Focus Group Statement 07 IC HITECH Focus Group Statement 07.07.11.docx 07/09/2011
Updated IC HITECH Focus Group Supporing Statement IC HITECH Focus Group Statement 07.22.11.docx 07/25/2011
Visuals for Focus Groups FINAL_Focus Group Materials_COMBINED.pdf 07/25/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.