Information Collection

Supervisor Focus Group Protocol

IC 267994 under ICR 202412-0906-004 · OMB 0906-0100.

Documents and Forms

Document Name Document Type
Form 3 Supervisor Focus Group Protocol Form and Instruction
3 Supervisor Focus Group Appendix E Instrument 3 Supervisor Focus Group Protocol (08012024).docx Form and Instruction
3 Supervisor Focus Group Appendix E Instrument 3 Supervisor Focus Group Protocol (08012024).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supervisor Focus Group Protocol	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	Supervisor Focus Group	Appendix E Instrument 3 Supervisor Focus Group Protocol (08012024).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 50

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	75	75
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.