Information Collection

Moderator"s Guide

IC 202106 under ICR 201204-0990-004 · OMB 0990-0400.

Documents and Forms

Document Name Document Type
1.REVISED.ATTACHMENT E1_ELE Focus Group Moderator Guide and Script.doc Other-REVISED.ATTACHMENT E1_ELE Focu
2.REVISED.ATTACHMENT E2_Non-ELE Focus Group Moderator Guide.doc Other-REVISED.ATTACHMENT E2_Non-ELE

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Moderator"s Guide	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
Other-REVISED.ATTACHMENT E1_ELE Focus Group Moderator Guide and Script.doc			1.REVISED.ATTACHMENT E1_ELE Focus Group Moderator Guide and Script.doc		No		Printable Only
Other-REVISED.ATTACHMENT E2_Non-ELE Focus Group Moderator			2.REVISED.ATTACHMENT E2_Non-ELE Focus Group Moderator Guide.doc		No		Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	480	480
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.