Information Collection

Clinician Focus Groups

IC 200337 under ICR 201112-0935-001 · OMB 0935-0191.

Documents and Forms

Document Name Document Type
Form Form #4 Clinician Focus Groups Form and Instruction
Form #4 Clinician Focus Group Guide Attachment F -- Clinician Focus Group Guide.doc Form and Instruction
Attachment G -- Clinician Focus Group Respondent Materials.doc Attachment G -- Clinician Focus Group Respondent Materials IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Clinician Focus 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	Clinician Focus Group Guide	Attachment F -- Clinician Focus Group Guide.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	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	72	72
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment G -- Clinician Focus Group Respondent Materials	Attachment G -- Clinician Focus Group Respondent Materials.doc	11/30/2011

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