Information Collection

[NCIPC] Screening Survey for focus groups and interviews

IC 264563 under ICR 202507-0920-010 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1154-24CC [NCIPC] Screening Survey for focus groups and interviews Form
ATT 2 Focus Group Email 01.09.24 post NCIPC OMB review.docx Instruction
ATT 3 Focus Group follow up Email 01.09.24 post NCIPC OMB review.docx Instruction
ATT 4 _Interviews Tribal HCPs EMAIL.docx Instruction
ATT 5 _Interviews Tribal HCPs FOLLOW UP EMAIL.docx Instruction
ATT 6 Interviews Tribal Leaders EMAIL.docx Instruction
ATT 7 Interviews Tribal Leaders FOLLOW UP EMAIL.docx Instruction
0920-1154-24CC Recruitment Materials - Focus Groups and Interviews - AI ATT 1 Screener - Focus Groups and Interviews 01.09.24 post NCIPC OMB review.docx Form
0920-1154 (24CC) Focus Group Guide AI/AN Adults ATT 8 Focus Group Guide - AIAN Adults.docx Form and Instruction
0920-1154 (24CC) Interview Guide Tribal Health Care Providers (HCPs) and ATT 9 Interview Guide - Tribal HCPs and Tribal Leaders.docx Form and Instruction
Supporting Statement B_ AI_AN Discharge Instructions_01.09.24_post NCIPC OMB review.docx SSB (24CC) IC Document
ATT 11 Privacy Act-Determination-signed by ISSO.pdf NCIPC OMB PII and Privacy Act Determination IC Document
GEN IC Request memo_Discharge AI AN.docx Memo GenIC Clearance (24CC) IC Document
Supporting Statement A_ AI_AN Discharge Intructions_01.10.24.docx Support Statement A_AI_AN Discharge Instructions_01.10.24 IC Document

Information Collection (IC) Details

IC Title	[NCIPC] Screening Survey for focus groups and interviews
IC Status	Unchanged
Obligation to Respond	Voluntary