Information Collection

CBOs: Feasibility assessment focus groups

IC 252920 under ICR 202403-0990-008 · OMB 0990-0482.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C_Feasibility Assessments-CHCs and CBOs_Final.docx	Other-Interview Questions
Appendix C_Feasibility Assessments-CHCs and CBOs_Final.docx	Other-Interview Questions

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 5 CFR CFR 1320.8(d), (To search for a specific CFR, visit the Code of Federal Regulations.)

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-Interview Questions			Appendix C_Feasibility Assessments-CHCs and CBOs_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: CBOs: Feasibility assessment focus groups

FR Citation: 86 FR 70510

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: 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	96	96
Annual IC Time Burden (Hours)	72	72
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.