Clinicians Caring for WTCHP Members

The World Trade Center Health Program: Impact Assessment and Strategic Planning for Translational Research (Part 1, Formative Research: Focus Groups)

OMB: 0920-1252

IC ID: 234102

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Clinicians Caring for WTCHP Members
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Brief Demographic Survey Att G_Brief Demo Survey_2018-11-14.pdf No   Paper Only
Form and Instruction none Focus group guide WTCHP Att D_FG protocol_2019-11.22.19 for OMB_clean.docx No   Paper Only

Disaster Management Disaster Preparedness and Planning

 

20 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 40 0 0 0 0 40
Annual IC Cost Burden (Dollars) 1,514 0 0 0 0 1,514

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