Deliberative Experience Survey

Use of Deliberative Methods to Enhance Public Engagement in Comparative Effectiveness Research

Documents and Forms

Document Name Document Type
Form Form #10 Deliberative Experience Survey Form and Instruction
Form #10 Deliberative Experience Survey Attachment F - Deliberative Experience Survey.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Deliberative Experience Survey	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 #10	Deliberative Experience Survey	Attachment F - Deliberative Experience Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 960	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	240	240
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.