Information Collection

Treatment Facility Staff Focus Groups

IC 228981 under ICR 201711-0920-009 · OMB 0920-1218.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1218 can be found here:

Documents and Forms

Document Name Document Type
Attachment 8 Staff (Provider) Focus Groups 17ACE_MAT.docx Other-Focus group guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Treatment Facility Staff Focus Groups	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus group guide			Attachment 8 Staff (Provider) Focus Groups 17ACE_MAT.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	41	41
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.