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Federal forms, ICRs, and supporting documents

Information Collection

Focus groups with Exiters and Possible Exiters (icl. informed consent and pre-collections) questions

IC 265146 under ICR 202411-0960-012 · OMB 0960-0836.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A-3. Possible Exiters Focus Group Protocol.pdf Other-. Possible Exiters Focus Group
Attachment A-3. Possible Exiters Focus Group Protocol.pdf Other-. Possible Exiters Focus Group
Attachment A-4. Exiters Focus Group Protocol.pdf Other-Exiters Focus Group Protocol
Attachment A-4. Exiters Focus Group Protocol.pdf Other-Exiters Focus Group Protocol
Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf Other-Exiter and Possible Exiter Foc
Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf Other-Exiter and Possible Exiter Foc
Attachment A-12. Exiter and Possible Exiter Focus Group recruitment call script.pdf Other- Exiter and Possible Exiter Fo
Attachment A-12. Exiter and Possible Exiter Focus Group recruitment call script.pdf Other- Exiter and Possible Exiter Fo
Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf Other- Exiter and Possible Exiter Su
Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf Other- Exiter and Possible Exiter Su
Attachment A-17. Exiter and Possible Exiter Survey Reminder Postcard.pdf Other-Exiter and Possible Exiter Sur
Attachment A-17. Exiter and Possible Exiter Survey Reminder Postcard.pdf Other-Exiter and Possible Exiter Sur
Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter.pdf Other-Exiter and Possible Exiter Sur
Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter.pdf Other-Exiter and Possible Exiter Sur
Attachment A-19. Exiter and Possible Exiter Survey NR Script.pdf Other- Exiter and Possible Exiter Su
Attachment A-19. Exiter and Possible Exiter Survey NR Script.pdf Other- Exiter and Possible Exiter Su
Attachment A-20. Pre-collection instrument.pdf Other- Pre-collection instrument
Attachment A-20. Pre-collection instrument.pdf Other- Pre-collection instrument
Attachment A-22. Text Message Reminders.pdf Other-Text Message Reminders
Attachment A-22. Text Message Reminders.pdf Other-Text Message Reminders

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-. Possible Exiters Focus Group Protocol. No   Paper Only
Other-Exiters Focus Group Protocol No   Paper Only
Other-Exiter and Possible Exiter Focus Group Letter and Consent No   Paper Only
Other- Exiter and Possible Exiter Focus Group recruitment call script No   Paper Only
Other- Exiter and Possible Exiter Survey Letter and Consent No   Paper Only
Other-Exiter and Possible Exiter Survey Reminder Postcard No   Paper Only
Other-Exiter and Possible Exiter Survey Reminder Letter No   Paper Only
Other- Exiter and Possible Exiter Survey NR Script No   Paper Only
Other- Pre-collection instrument No   Paper Only
Other-Text Message Reminders No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 140 0 0 0 0 140
Annual IC Time Burden (Hours) 152 0 0 0 0 152
Annual IC Cost Burden (Dollars) 0 0 0 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.
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