Information Collection

Program Staff Focus Group Protocol 2 (Co-definition Phase)

IC 267285 under ICR 202404-0906-010 · OMB 0906-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0092 can be found here:

Documents and Forms

Document Name Document Type
Form 3 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction
3 Program Staff Focus Group Protocol 2 (Co-definition Phas Appendix G_Active Engagement_Instrument3.docx Form and Instruction
3 Program Staff Focus Group Protocol 2 (Co-definition Phas Appendix G_Active Engagement_Instrument3.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Program Staff Focus Group Protocol 2 (Co-definition Phase)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Program Staff Focus Group Protocol 2 (Co-definition Phase)	Appendix G_Active Engagement_Instrument3.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 24

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.