Telephone Interviews to Screen Potential Focus Group Participants for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans

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

OMB: 0920-1027

IC ID: 215178

Documents and Forms
Information Collection (IC) Details

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Telephone Interviews to Screen Potential Focus Group Participants for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans 15ML
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att1 Screener DVH.docx None Yes Yes Fillable Printable

Health Public Health Monitoring

 

250 0
   
Individuals or Households
 
   100 %

  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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 42 0 42 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for GenIC 0920-1047 RequestTemplate_2015 ScreenerFocus Group 24FEB2015.docx 02/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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