Information Collection

Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form C1 Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals	Form
Form C1 Asynchronous Focus Group Questions-Clinicians and Healthcare Professionals 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.