Information Collection

2020 CT.gov Focus Group Survey (NLM)

IC 239332 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2020 CT.gov Focus Group Survey (NLM)	Form and Instruction
1 CT.gov Focus Group Guide NLM Survey Instrument_ CT.gov Focus Group Guide.pdf	Form and Instruction
NLM Fast Track ICR_2020 CT.gov Focus Group Survey (2).docx Fast track ICR 2020 CT.gov Focus group survey	IC Document

IC Title:

2020 CT.gov Focus Group Survey (NLM)

Agency IC Tracking Number:

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	1	CT.gov Focus Group Guide	NLM Survey Instrument_ CT.gov Focus Group Guide.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track ICR 2020 CT.gov Focus group survey	NLM Fast Track ICR_2020 CT.gov Focus Group Survey (2).docx	01/21/2020

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