OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Focus Group: Rounds 1 and 2

IC 251706 under ICR 202202-0938-005 · OMB 0938-1430.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Crosswalk: Focus Group
Other-Crosswalk: Focus Group
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Focus Group: Rounds 1 and 2
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10786 Focus Group Participant Questionnaire focusgroup_SUPPORTAct1003.pdf Yes Yes Fillable Fileable
Other-Crosswalk: Focus Group SUPPORTActFocusGroupCrosswalk.xlsx No   Printable Only

Health Health Care Services

 

140 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 140 0 140 0 0 0
Annual IC Time Burden (Hours) 210 0 210 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.