Information Collection

Focus Group Discussion Guide

IC 202905 under ICR 201206-0920-007 · OMB 0920-0947.

Documents and Forms

Document Name Document Type
Attachment_3B_Focus_Group_Discussion_Guide[1].docx Other-Discussion Guide
Attachment 3B Focus Group Discussion Guide.docx Attachment 3B Focus Group Discussion Guide IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus Group Discussion 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-Discussion Guide			Attachment_3B_Focus_Group_Discussion_Guide[1].docx		No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	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	72	72
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 3B Focus Group Discussion Guide	Attachment 3B Focus Group Discussion Guide.docx	09/07/2012

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