Information Collection

National Comprehensive Cancer Control Program Focus Groups

IC 206292 under ICR 201303-0920-015 · OMB 0920-0971.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Comprehensive Cancer Control Program Focus Groups	Form and Instruction
Att 8_Focus Group Moderator Guide_011413_Revised.docx	Other-Focus Group Moderator Guide
Focus Group Consent From Att 12_Focus Group consent form_011413_Revised.doc	Form and Instruction
Att 9_Focus Group invitation email_011413_Revised.doc Att 9_Focus Group invitation email_011413_Revised	IC Document
Att 10_Focus Group confirmation email_011413_Revised.doc Att 10_Focus Group confirmation email_011413_Revised	IC Document
Att 11_Focus Group Questions and Answer_011413_Revised.doc Att 11_Focus Group Questions and Answer_011413_Revised	IC Document

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 and Instruction	None	Focus Group Consent From	Att 12_Focus Group consent form_011413_Revised.doc		Yes	No	Paper Only
Other-Focus Group Moderator Guide			Att 8_Focus Group Moderator Guide_011413_Revised.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 9_Focus Group invitation email_011413_Revised	Att 9_Focus Group invitation email_011413_Revised.doc	03/21/2013
Att 10_Focus Group confirmation email_011413_Revised	Att 10_Focus Group confirmation email_011413_Revised.doc	03/21/2013
Att 11_Focus Group Questions and Answer_011413_Revised	Att 11_Focus Group Questions and Answer_011413_Revised.doc	03/21/2013

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