OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

mHealth focus groups

IC 200676 under ICR 201106-0990-003 · OMB 0990-0376.

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

View Information Collection (IC)

mHealth focus groups
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0376_mHealth_Screener_12_9_FINAL.doc Yes Yes Fillable Printable
Other-survey 0990-0376_mHealth_Questionnaire_12_9_FINAL.docx Yes Yes Fillable Printable
Other-guide 0990-0376_mHealthModeratorsGuide12_9.docx No No Fillable Printable

Health Illness Prevention

 

96 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 96 0 0 0 0 0
Annual IC Time Burden (Hours) 60 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0376_mHealth Attachment A_12_9_FINAL 0990-0376_mHealth Attachment A_12_9_FINAL.docx 12/21/2011
0990-0376_Generic_Clearance_mHealth12 0990-0376_Generic_Clearance_mHealth12.21.docx 12/21/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.