OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Physician Focus Group

IC 187254 under ICR 200902-0920-004 · OMB 0920-0801.

Documents and Forms
Document Name
Document Type
Other-WORD
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Physician Focus Group
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment G Moderator Guide Physician FG.doc No No Fillable Printable

Health Illness Prevention

 

24 0
   
Individuals or Households
 
   0 %

  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 24 0 0 0 0 24
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment G1 Provider Recruitment Materials Attachment G1 Provider Recruitment Materials.doc 11/05/2008
Attachment G2 Physician Informed Consent Attachment G2 Physician Informed Consent.doc 11/05/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.