Adolescent Pre-Focus Group Interview Script

Evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program

OMB: 0935-0190

IC ID: 210514

Information Collection (IC) Details

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Adolescent Pre-Focus Group Interview Script
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 15 Adolescent Pre-Focus Group Interview Script Attachment S- 2014 Adolescent Pre-Focus Group Interview Script.docx Yes Yes Paper Only

Health Immunization Management

 

40 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx 02/19/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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