Information Collection Request

Blood Donation Rules Opinion Study (Blood DROPS)

ICR 201309-0925-007 · OMB 0925-0669 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Telephone Questionaire Form and Instruction Modified Available
Form 1 Web-based Survey Form and Instruction Modified Available
Form 1 Web-based Screener Form and Instruction Modified Available
Form 1 Focus Goup Topic Guide Q Form and Instruction Modified Available
Change Request REDS-III Blood Drops[1].doc Justification for No Material/Nonsubstantive Change Uploaded 2013-09-23 Available
MSM_OMB_Attach_2_Web-based_Screener_and_Q_8Jan2013_clean_V_4_0.docx Supplementary Document Uploaded 2013-01-18 Available
MSM_OMB_Attach_2_Web-based_Screener_and_Q_8Jan2013_clean_V_4_0.docx Supplementary Document Uploaded 2013-01-18 Available
MSM_OMB_Attach_2_Web_based_Screener_Q_5_2102_V_3 0 pdf.pdf Supplementary Document Uploaded 2012-08-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
203732 Aim 3 Telephone Questionnaire Form and Instruction ModifiedTelephone Questionaire
203731 Aim 2.2 Web-based Screener and QUESTIONNAIRE Form and Instruction ModifiedWeb-based Survey
203730 Aim 2.1 Web-based SCREENER and Questionnaire Form and Instruction ModifiedWeb-based Screener
203729 Aim 1 Focus Group Screener and Topic Guide Form and Instruction ModifiedFocus Goup Topic Guide Q

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2014 01/31/2014 01/31/2014
6,904 0 6,884
1,920 0 1,900
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Aim 1 Focus Group Screener and Topic Guide 1
Aim 2.1 Web-based SCREENER and Questionnaire 1
Aim 2.2 Web-based Screener and QUESTIONNAIRE 1
Aim 3 Telephone Questionnaire 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,904 6,884 0 0 20 0
Annual Time Burden (Hours) 1,920 1,900 0 0 20 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No