HRSA Division of Transplantation (DoT) Concept Testing

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0990-0379

IC ID: 254221

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HRSA Division of Transplantation (DoT) Concept Testing
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Informed Consent: DoT Concept Testing 04112022 - Attachment 1 - DoT Concept Testing Informed Consent - CLEAN.docx Yes Yes Fillable Fileable
Instruction 04112022 - Attachment 2 - DoT Concept Testing Screener - CLEAN.docx Yes Yes Fillable Fileable
Instruction 04112022 - Attachment 3 - DoT Concept Testing Online Focus Group Guide - CLEAN.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

60 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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 105 0 0 0 0 105
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Memo Fast Track Memo - Living Donation Materials Testing - OMB.docx 06/14/2022
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