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Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Testing to Effectively Plan and Tailor a Communication Campaign about Young Women and Breast Cancer

IC 216348 under ICR 201408-0920-009 · OMB 0920-0800.

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

View Information Collection (IC)

Focus Group Testing to Effectively Plan and Tailor a Communication Campaign about Young Women and Breast Cancer 15ACO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0800 F2 - Materials for Testing_Other (Family History)_4 09 2015 F2 - Materials for Testing_Other (Family History)_4 09 2015.pdf No   Fillable Printable
Instruction G1 - Discussion Guide for Other (No Family History)_04 09 2015.docx No   Fillable Printable
Form and Instruction 0920-0800 H - Screening Instrument for Ashkenazi Jewish Young Women H - Screening Instrument for Ashkenazi Jewish Young Women.docx No   Fillable Printable
Form and Instruction 0920-0800 I - Screening Instrument for African American Young Women I - Screening Instrument for African American Young Women.docx No   Fillable Printable
Form and Instruction 0920-0800 J - Screening Instrument for Other Young Women J - Screening Instrument for Other Young Women.docx No   Fillable Printable
Instruction K - Participant Information Sheets_final.docx No   Fillable Printable
Form and Instruction 0920-0800 B2 - Materials for Testing_AJ (Family History)_4 09 2015 B2 - Materials for Testing_AJ (Family History)_4 09 2015.pdf No   Fillable Printable
Form and Instruction 0920-0800 C1 - Discussion Guide for AJ (No Family History)_04 09 2015 C1 - Discussion Guide for AJ (No Family History)_04 09 2015.docx No   Fillable Printable
Form and Instruction 0920-0800 C2 - Materials for Testing_AJ (No Family History)_4 09 2015 C2 - Materials for Testing_AJ (No Family History)_4 09 2015.pdf No   Fillable Printable
Form and Instruction 0920-0800 D1 - Discussion Guide for AA (Family History)_04 09 2015 D1 - Discussion Guide for AA (Family History)_04 09 2015.docx No   Fillable Printable
Form and Instruction 0920-0800 D2 - Materials for Testing_AA (Family History)_4 09 2015 D2 - Materials for Testing_AA (Family History)_4 09 2015.pdf No   Fillable Printable
Form and Instruction 0920-0800 E1 - Discussion Guide for AA (No Family History)_04 09 2015 E1 - Discussion Guide for AA (No Family History)_04 09 2015.docx No   Fillable Printable
Form and Instruction 0920-0800 F1 - Discussion Guide Other (Family History)_04 09 2015 F1 - Discussion Guide Other (Family History)_04 09 2015.docx No   Fillable Printable

Health Illness Prevention

 

540 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 540 0 540 0 0 0
Annual IC Time Burden (Hours) 378 0 378 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS A v10_4 27 2015 SS A v10_4 27 2015.doc 04/30/2015
SS B v10_4 27 2015 SS B v10_4 27 2015.doc 04/30/2015
A Legislative Authority_Early Act Reauthorization A Legislative Authority_Early Act Reauthorization.pdf 04/30/2015
Form 684 Form 684.pdf 04/30/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.