Patient Focus Group Interview - Small Group Discussion Interview Guide

Develop and Implement UCARE4LIFE Message Library

OMB: 0915-0371

IC ID: 208619

Information Collection (IC) Details

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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.

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