Information Collection

Instrument 9 - Provider feedback focus group

IC 260164 under ICR 202308-0970-007 · OMB 0970-0612.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0612 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 9. Provider feedback focus group.docx	Other-focus group
Instrument 9. Provider feedback focus group.docx	Other-focus group
Instrument 9. Provider feedback focus group_Spanish.docx	Other-focus group - Spanish
Instrument 9. Provider feedback focus group_Spanish.docx	Other-focus group - Spanish

IC Title:

Instrument 9 - Provider feedback focus group

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			Instrument 9. Provider feedback focus group.docx		Yes	Yes	Printable Only
Other-focus group - Spanish			Instrument 9. Provider feedback focus group_Spanish.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	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.