Information Collection

Parent Focus Group Guide--(Parents of children born with CMV who were asymptomatic and did not develop sequelae)

IC 205681 under ICR 201302-0920-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Parent Focus Group Guide--(Parents of children born with CMV who were asymptomatic and did not develop sequelae)	Form
Parent Focus Group Guide (Parents of children born with Att 3 Parent Focus Group Guide--PG1--aymptomatic no sequelae.doc	Form

IC Title:

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	None	Parent Focus Group Guide (Parents of children born with CMV who were asymptomatic and did not develop sequelae)	Att 3 Parent Focus Group Guide--PG1--aymptomatic no sequelae.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	54	54
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.