OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Educational Outreach Focus Groups with Health Educators (CTP)

IC 248074 under ICR 202206-0910-016 · OMB 0910-0697.

Documents and Forms
Document Name
Document Type
Other-Initial Email Screener
Other-Initial Email Screener
Other-Informed Consent
Other-Informed Consent
Other-Follow up Phone Screener
Other-Follow up Phone Screener
Other-Recruitment Materials
Other-Recruitment Materials
Other-Discussion Guide
Other-Discussion Guide
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Educational Outreach Focus Groups with Health Educators (CTP) CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Initial Email Screener Initial Email Screener.docx Yes Yes Fillable Fileable
Other-Informed Consent Informed Consent.docx Yes Yes Fillable Fileable
Other-Follow up Phone Screener Follow-up Phone Screener.docx Yes Yes Fillable Fileable
Other-Recruitment Materials Recruitment Materials.docx Yes No Printable Only
Other-Discussion Guide Discussion Guide.docx Yes No Printable Only

Health Consumer Health and Safety

 

378 0
   
Individuals or Households
 
   100 %

  Requested 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 378 0 0 0 0 378
Annual IC Time Burden (Hours) 212 0 0 0 0 212
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0697 OMB Approval Memo - Educational Outreach FG Health Educators 2021.docx 06/28/2021
IRB Letter IRB Letter.pdf 06/28/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.