HITRC Training Focus Groups

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (HITRC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0955-0003 can be found here:

Documents and Forms

Document Name Document Type
0955-0003_HITRC_Attachment A - Focus Group Protocol_032113 2 of 2 Survey.docx Other-Focus Group
0955-0003_ MEMO_HITRC Training Focus Groups 032113 1 of 2.docx 0955-0003_ MEMO_HITRC Training Focus Groups 032113 1 of 2 IC Document

Information Collection (IC) Details

IC Title:	HITRC Training Focus Groups	Agency IC Tracking Number:

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-Focus Group			0955-0003_HITRC_Attachment A - Focus Group Protocol_032113 2 of 2 Survey.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	150	0	0	0	0	0
Annual IC Time Burden (Hours)	113	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0955-0003_ MEMO_HITRC Training Focus Groups 032113 1 of 2	0955-0003_ MEMO_HITRC Training Focus Groups 032113 1 of 2.docx	04/09/2013

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