OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Consumer Focus Groups

IC 189618 under ICR 200906-0583-001 · OMB 0583-0141.

Documents and Forms
Document Name
Document Type
Form
Instruction
Other-worksheet
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Consumer Focus Groups
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Immunocompromised Focus Groups Screening Questionnaire-Immuno_REV.doc No   Paper Only
Form None Older Adults (60+) Focus Groups Screening Questionnaire-Older_REV.doc No   Paper Only
Form None Underserved Population Focus Groups Screening Questionnaire-Underserved_REV.doc No   Paper Only
Form None Geberal Population Focus Groups Screening Questionnaire_general_REV.docx No   Paper Only
Form None Young Adults Focus Groups Screening Questionnaire-YoungAd_REV.doc No   Paper Only
Instruction Final moderator guide 9-16-09 (2).doc No   Paper Only
Form None Parents of Young Children < 5 yrs. old Focus Group Screening Questionnaire-Parents.doc No   Paper Only
Form None General Population Focus Groups Screeening Questionnaire-General.doc No   Paper Only
Form None Immunocompromised Focus Groups Screening Questionnaire-Immuno.doc No   Paper Only
Form None Older Adults (60 +) Focus Groups Screening Questionnaire-Older.doc No   Paper Only
Form None Young Adults ( 18-24 years old) Focus Groups Screening Questionnaire-YoungAd.doc No   Paper Only
Form None Underserved Population Focus Groups Screening Questionnaire-Underserved.doc No   Paper Only
Form None Consent Form Consent_Form_0208893 031.doc No   Paper Only
Other-worksheet Focus Group Participant Worksheet.doc No   Paper Only
Form None Parents of Young Children < 5 yrs. old Focus Group Screening Questionnaire-Parents_REV.doc No   Paper Only
Form None Consent Form Consent_Form_0208893 031_REV.doc No   Paper Only

Health Consumer Health and Safety

 

132 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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 198 0 198 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.