OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Foundational Focus Groups

IC 245351 under ICR 202207-0990-005 · OMB 0990-0476.

Documents and Forms
Document Name
Document Type
Other-FFG- Part A, Attachment D
Other-FFG- Part A, Attachment D
Other-FFG-Part A, Attachment E
Other-FFG-Part A, Attachment E
Other-FFG-Part A, Attachment F
Other-FFG-Part A, Attachment F
Other-FFG-Part A, Attachment G
Other-FFG-Part A, Attachment G
Other-FFG-Part B, Attachment B
Other-FFG-Part B, Attachment B
Other-Screener - Definite Waiters
Other-Screener - Definite Waiters
Other-Screener - American Indian
Other-Screener - American Indian
Other-Screener - Asian american
Other-Screener - Asian american
Other-Screener - African American
Other-Screener - African American
Other-Screener - Hispanic
Other-Screener - Hispanic
Other-Screener - Native Hawaiian
Other-Screener - Native Hawaiian
Other-Screener - Unsure Waiters
Other-Screener - Unsure Waiters
Other-Screener - Vaccinated Gen Pop
Other-Screener - Vaccinated Gen Pop
Other-Testing-Screener-7-12-21
Other-Testing-Screener-7-12-21
Other-Adult Screener
Other-Adult Screener
Other-Parents Screener
Other-Parents Screener
Other-Parent FG Screener 3-17-22
Other-Parent FG Screener 3-17-22
Information Collection (IC) Details

View Information Collection (IC)

Foundational Focus Groups
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-FFG- Part A, Attachment D Part A - Attachment D_Foundational FGs Invitation Emails.docx Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment E Part A - Attachment E_ Foundational FGs Screener_122420.docx Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment F Part A - Attachment F_Foundational FGs Informed Consent Form_122420.docx Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment G Part A - Attachment G_Foundational FGs External IRB Determination.pdf Yes Yes Fillable Fileable
Other-FFG-Part B, Attachment B Part B - Attachment B_Foundational FGs Discussion Guide_011821.docx Yes Yes Fillable Fileable
Other-Screener - Definite Waiters BRCFB8~1.PDF Yes Yes Fillable Fileable
Other-Screener - American Indian BRANYI~2.PDF Yes Yes Fillable Fileable
Other-Screener - Asian american BRANYI~3.PDF Yes Yes Fillable Fileable
Other-Screener - African American BRANYI~4.PDF Yes Yes Fillable Fileable
Other-Screener - Hispanic BR1E56~1.PDF Yes Yes Fillable Fileable
Other-Screener - Native Hawaiian BR6545~1.PDF Yes Yes Fillable Fileable
Other-Screener - Unsure Waiters BR250A~1.PDF Yes Yes Fillable Fileable
Other-Screener - Vaccinated Gen Pop BR91F4~1.PDF Yes Yes Fillable Fileable
Other-Testing-Screener-7-12-21 HHS COVID-19 Creative Testing Wave 2 Screener July 12_clean.docx Yes Yes Fillable Fileable
Other-Adult Screener BRANY IRB Approved Materials - HHS COVID-19 Public Education Campaign_W2 FFG Screener_Adults_11-03-21.pdf Yes Yes Fillable Fileable
Other-Parents Screener BRANY IRB Approved Materials - HHS COVID-19 Public Education Campaign_W2 FFG Screener_Parents_11-03-21.pdf Yes Yes Fillable Fileable
Other-Parent FG Screener 3-17-22 HHS COVID-19 Parent FG Screener Final.docx Yes Yes Fillable Fileable

Health Health Care Services

 

20,000 0
   
Individuals or Households
 
   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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 3,096 0 0 0 0 3,096
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.