Information Collection

Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals

IC 247992 under ICR 202103-0955-002 · OMB 0955-0021.

Documents and Forms

Document Name Document Type
Form C1 Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals Form
C1 Asynchronous Focus Group Questions-Clinicians and Health Attachment C1. Final Asynchronous Focus Group Questions-Clinicians and Healthcare Professionals.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals	Agency IC Tracking Number:

Is this a Common Form? No		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	C1	Asynchronous Focus Group Questions-Clinicians and Healthcare Professionals	Attachment C1. Final Asynchronous Focus Group Questions-Clinicians and Healthcare Professionals.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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