Information Collection

Caregiver Focus Groups

IC 272991 under ICR 202412-0920-006 · OMB 0920-1459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1459 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Caregiver Focus Groups	Form and Instruction
Caregiver Focus Group Guide Attachment K_Caregiver Focus Group Guide_V10.docx	Form and Instruction
Caregiver Focus Group Guide Attachment K_Caregiver Focus Group Guide_V10.docx	Form and Instruction

IC Title:

Caregiver Focus Groups

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	N/A	Caregiver Focus Group Guide	Attachment K_Caregiver Focus Group Guide_V10.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
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.