Information Collection

Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)

IC 241908 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⚠️ Notice: This information collection may be referencing outdated material.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 Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)	Form and Instruction
1 Recruitment screener Attachment 1_RecruitmentScreener_Updated (1).docx	Form and Instruction
2 Informed Consent Form Attachment 2_Informed Consent Form (6).docx	Form and Instruction
3 homework instructions Attachment 3_Homework Instructions (2).docx	Form and Instruction
4 Moderator's Guide Attachment 5_Moderator's Guide (4).docx	Form and Instruction
Attachment 4_Outreach Language (9).docx Outreach Language	IC Document
Attachment 6_TMD Brochure.pdf TMD brochure	IC Document
Fast Track Template_NIDCR-TMD-FINAL-5.20.20-UPDATED-CLEAN.docx Fast track template for TMD focus group	IC Document

IC Title:

Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)

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	Available Electronically?	Electronic Capability
Form and Instruction	1	Recruitment screener	Attachment 1_RecruitmentScreener_Updated (1).docx	No	Paper Only
Form and Instruction	2	Informed Consent Form	Attachment 2_Informed Consent Form (6).docx	No	Paper Only
Form and Instruction	3	homework instructions	Attachment 3_Homework Instructions (2).docx	No	Paper Only
Form and Instruction	4	Moderator's Guide	Attachment 5_Moderator's Guide (4).docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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	24	24
Annual IC Time Burden (Hours)	46	46
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Outreach Language	Attachment 4_Outreach Language (9).docx	05/20/2020
TMD brochure	Attachment 6_TMD Brochure.pdf	05/20/2020
Fast track template for TMD focus group	Fast Track Template_NIDCR-TMD-FINAL-5.20.20-UPDATED-CLEAN.docx	05/20/2020

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