Information Collection

IHC Focus Group Invitation (Pathologists, Pathology Chairs, Laboratory Chairs, Laboratory Directors, Laboratory Managers, Laboratory Supervisors)

IC 221169 under ICR 201604-0920-010 · OMB 0920-1067.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1067 IHC Focus Group Invitation (Pathologists, Pathology Chairs, Laboratory Chairs, Laboratory Directors, Laboratory Managers, Laboratory Supervisors)	Form and Instruction
0920-1067 Att E - IHC FocusGroupInvitation Att E - IHC FocusGroupInvitation .docx	Form and Instruction
Att F - IHC FocusGroupConsent .docx Att F - IHC FocusGroupConsent	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1067	Att E - IHC FocusGroupInvitation	Att E - IHC FocusGroupInvitation .docx		No		Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att F - IHC FocusGroupConsent	Att F - IHC FocusGroupConsent .docx	04/20/2016

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