Information Collection

Focus Groups

IC 273018 under ICR 202412-0930-003 · OMB 0930-0402.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0402 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Parents Caregiver Focus Groups	Form and Instruction
Parents Caregiver Parents Caregiver of Youth Focus Group Attachment K Parents Caregiver of Youth Focus Group Protocol.docx	Form and Instruction
Parents Caregiver Parents Caregiver of Youth Focus Group Attachment K Parents Caregiver of Youth Focus Group Protocol.docx	Form and Instruction
Youth Client Focus Youth Client Focus Group Attachment J Youth Client Focus Group Protocol.docx	Form and Instruction
Youth Client Focus Youth Client Focus Group Attachment J Youth Client Focus Group Protocol.docx	Form and Instruction
Adult Client Focus Adult Client Focus Group Attachment I Adult Client Focus Group Protocol.docx	Form and Instruction
Adult Client Focus Adult Client Focus Group Attachment I Adult Client Focus Group Protocol.docx	Form and Instruction

IC Title:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Parents Caregiver of Youth Focus Group	Parents Caregiver of Youth Focus Group	Attachment K Parents Caregiver of Youth Focus Group Protocol.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Youth Client Focus Group	Youth Client Focus Group	Attachment J Youth Client Focus Group Protocol.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Adult Client Focus Group	Adult Client Focus Group	Attachment I Adult Client Focus Group Protocol.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: CCBHC-E

FR Citation: 75 FR 28264

Number of Respondents: 1,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	1,300	1,300
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.