Information Collection

Student Curricula Implementer Focus Group Guide

IC 201412 under ICR 201203-0920-002 · OMB 0920-0941.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0941 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OOO Student Curricula Implementer Focus Group Guide	Form and Instruction
OOO Student Curricula Implementer Consent Form For Focus Gro Atmt OOO Student curricula implementer consent for focus group participation_10-25-11.docx	Form and Instruction
AAA Student curricula implementer focus group guide Atmt AAA Student Curricula Implementer Focus Group Guide_10-31-11.docx	Form and Instruction

IC Title:

Student Curricula Implementer Focus Group Guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OOO	Student Curricula Implementer Consent Form For Focus Group Participation	Atmt OOO Student curricula implementer consent for focus group participation_10-25-11.docx		No	No	Paper Only
Form and Instruction	AAA	Student curricula implementer focus group guide	Atmt AAA Student Curricula Implementer Focus Group Guide_10-31-11.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.