Information Collection

Focus Groups- Health and Health Care

IC 219186 under ICR 202208-0990-001 · OMB 0990-0407.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0407Appendix E - TCH Focus Group Moderators Guide (Sample)(12.2.15).pdf	Other-Focus Group
0990-0407Appendix E - TCH Focus Group Moderators Guide (Sample)(12.2.15).pdf	Other-Focus Group

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Focus Group			0990-0407Appendix E - TCH Focus Group Moderators Guide (Sample)(12.2.15).pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15	0	15
Annual IC Time Burden (Hours)	29	-1	30
Annual IC Cost Burden (Dollars)	0	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.