Information Collection Request

[NCBDDD] Focus Groups Among Adults with or Caring for Individuals with Congenital Heart Defects (CHD), Muscular Dystrophy (MD), and Spina Bifida (SB).

ICR 202403-0920-012 · OMB 0920-1433 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SB Focus Group Guide Form and Instruction New Available
SP Focus Group Guide Form and Instruction New Repair queued
SB Screening Tool Form and Instruction New Available
SB Screening Tool Form and Instruction New Repair queued
MD Focus Group Guide Form and Instruction New Available
MD Focus Group Guide Form and Instruction New Available
MC Screening Tool Form and Instruction New Available
MD Screening Tool Form and Instruction New Repair queued
CHD Focus Group Guide Form and Instruction New Available
CHD Focus Group Guide Form and Instruction New Repair queued
CHD Screening Tool Form and Instruction New Available
CHD Screening Tool Form and Instruction New Repair queued
Att35_CHD.MD.SB Focus Groups_PRA_PIA_PrivacySubmission.pdf Supplementary Document Uploaded 2024-03-28 Repair queued
Att34_Human Subjects Determination.pdf Supplementary Document Uploaded 2024-03-28 Available
Att32_60day FRN CHD.MD.SB Focus groups.pdf Supplementary Document Uploaded 2024-03-28 Repair queued
Att31_Auth Legislation.pdf Supplementary Document Uploaded 2024-03-28 Repair queued
Att30_ALL_Consent Form_03222024.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att29_SB11_Thank You Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att28_SB10_Thank You Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att26_SB8_Calendar Invite Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att25_SB7_Calendar Invite Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att24_SB6_Participant Selection Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att22_SB4_FG Mailer Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att21_SB3_FG Mailer Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att20_SB2_FG Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att19_SB1_FG Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att18_MD11_Thank You Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att17_MD10_Thank You Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att15_MD8_Calendar Invite Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att14_MD7_Calendar Invite Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att13_MD6_Participant Selection Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att11_MD4_FG Mailer Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att10_MD3_FG Mailer Caregiver.docx Supplementary Document Uploaded 2024-03-28 Available
Att9_MD2_FG Email Individual.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att8_MD1_FG Email Caregiver.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att7_CHD7_ThankYou Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att5_CHD5_Calendar Invite Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att4_CHD4_Participant Selection Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att2_CHD2_FG Mailer.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Att1_CHD1_FG Email.docx Supplementary Document Uploaded 2024-03-28 Repair queued
Supporting Statement B_final.docx Supporting Statement B Uploaded 2024-03-28 Repair queued
Supporting Statement A_final.docx Supporting Statement A Uploaded 2024-03-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
266384 SP Focus Group Guide Form and Instruction NewSB Focus Group Guide
266384 SP Focus Group Guide Form and Instruction New
266383 SB Screening Tool Form and Instruction NewSB Screening Tool
266383 SB Screening Tool Form and Instruction New
266382 MD Focus Group Guide Form and Instruction NewMD Focus Group Guide
266382 MD Focus Group Guide Form and Instruction New
266381 MD Screening Tool Form and Instruction NewMC Screening Tool
266381 MD Screening Tool Form and Instruction New
266380 CHD Focus Group Guide Form and Instruction NewCHD Focus Group Guide
266380 CHD Focus Group Guide Form and Instruction New
266346 CHD Screening Tool Form and Instruction NewCHD Screening Tool
266346 CHD Screening Tool Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2027 36 Months From Approved
330 0 0
203 0 0
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
CHD Focus Group Guide n/a
CHD Screening Tool n/a
MD Focus Group Guide n/a
MD Screening Tool n/a
SB Screening Tool n/a
SP Focus Group Guide n/a

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 330 0 0 330 0 0
Annual Time Burden (Hours) 203 0 0 203 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No