Information Collection

Synchronous Focus Group Questions for Clinicians and Healthcare Professionals

IC 249707 under ICR 202103-0955-002 · OMB 0955-0021.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form C3 Synchronous Focus Group Questions for Clinicians and Healthcare Professionals	Form
C3 Synchronous Focus Group Interview Questions-Clinicians a Attachment C3. Final Synchronous Focus Group Interview 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	C3	Synchronous Focus Group Interview Questions-Clinicians and Healthcare Professionals	Attachment C3. Final Synchronous Focus Group Interview 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: 10

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	10	10
Annual IC Time Burden (Hours)	15	15
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.