Healthy Brain Focus Group

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

Documents and Forms

Document Name Document Type
NINDS-Brain-Health-Moderator-Guide-8-26-14.doc Instruction
1 NINDS HEALTHY BRAIN FOCUS GROUP SCREENER NINDS-Screener-9-9-14.doc Form and Instruction
NINDS fast-track-template-8-6-14.doc Fast-Track template NINDS Healthy Brain Focus Group IC Document
Concept Materials for OMB Review 9-9-14.pdf Concept Materials IC Document

Information Collection (IC) Details

IC Title:	Healthy Brain Focus Group	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
Instruction			NINDS-Brain-Health-Moderator-Guide-8-26-14.doc		No		Paper Only
Form and Instruction	1	NINDS HEALTHY BRAIN FOCUS GROUP SCREENER	NINDS-Screener-9-9-14.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	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	54	54
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-Track template NINDS Healthy Brain Focus Group	NINDS fast-track-template-8-6-14.doc	09/15/2014
Concept Materials	Concept Materials for OMB Review 9-9-14.pdf	09/15/2014

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