OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Patient Focus Group Interview - Small Group Discussion Interview Guide

IC 208619 under ICR 201309-0915-001 · OMB 0915-0371.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Patient Focus Group Interview - Small Group Discussion Interview Guide
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Small Group Discussion Guide AppendixC_SmallGroupDiscussionGuide.docx Yes Yes Printable Only

Health Health Care Services

 

32 0
   
Individuals or Households
 
   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 32 0 32 0 0 0
Annual IC Time Burden (Hours) 64 0 64 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2 AppendixS_SampleTextMessageInventory 2 AppendixS_SampleTextMessageInventory.docx 08/30/2013
2 AppendixR_SmallGroupDiscussionReminderEmail 2 AppendixR_SmallGroupDiscussionReminderEmail.docx 08/30/2013
AppendixK_1 Adolescent assent form for small group AppendixK_1 Adolescent assent form for small group.docx 08/30/2013
AppendixK_2 Adult consent form for small group AppendixK_2 Adult consent form for small group.docx 08/30/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.