Information Collection

Student Participant Focus Group

IC 201411 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Document Name Document Type
Atmt ZZ Student focus group guide_10-25-11.doc Instruction
Atmt QQQ Student Focus Group Participant Assent Form_09-27-11.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Participant Focus Group	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Instruction			Atmt ZZ Student focus group guide_10-25-11.doc		No	No	Paper Only
Instruction			Atmt QQQ Student Focus Group Participant Assent Form_09-27-11.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
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
No associated records found

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