Focus Groups

Behavioral Health Information Technologies and Standards – In-depth Qualitative Data Collection Activity

Documents and Forms

Document Name Document Type
Form Focus Group Materi Focus Groups Form and Instruction
Focus Group Materi Focus Group Materials Attachment 2_Focus Group Materials_to_SAMHSA 10.14.15.docx Form and Instruction
Attachment 1_Deployment Strategies_to_SAMHSA 10.14.15.docx Deployment Strategies IC Document

Information Collection (IC) Details

IC Title:	Focus Groups	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Focus Group Materials	Focus Group Materials	Attachment 2_Focus Group Materials_to_SAMHSA 10.14.15.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Deployment Strategies	Attachment 1_Deployment Strategies_to_SAMHSA 10.14.15.docx	10/14/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.