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Federal forms, ICRs, and supporting documents

Information Collection

Post-Implementation Focus Group for Patients and Family Members

IC 224296 under ICR 201610-0935-001 · OMB 0935-0235.

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

View Information Collection (IC)

Post-Implementation Focus Group for Patients and Family Members
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix B_ PatientsandFamilies.docx No   Paper Only

Health Health Care Services

 

72 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 144 0 144 0 0 0
Annual IC Time Burden (Hours) 216 0 216 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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