Virtual Focus Groups for Exploratory Research with Primary Care Physicians - Hepatitis C

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1027 can be found here:

Documents and Forms

Document Name Document Type
Virtual Focus Groups for Exploratory Research with Primary Care Physicians - Hepatitis C Form
Att 2 ModeratorDiscussion Guide Hepatitis C.docx Other-Focus Group Guide
Screener Att 1 Screener 2017 Physician Discussion Group.docx Form
Generic Clearance for Qualitative Feedback Template.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Virtual Focus Groups for Exploratory Research with Primary Care Physicians - Hepatitis C	Agency IC Tracking Number:	0920-1027-18CJ

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	none	Screener	Att 1 Screener 2017 Physician Discussion Group.docx		Yes	Yes	Fillable Fileable
Other-Focus Group Guide			Att 2 ModeratorDiscussion Guide Hepatitis C.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 496	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	496	496
Annual IC Time Burden (Hours)	187	187
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	Generic Clearance for Qualitative Feedback Template.docx	10/18/2017

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