Information Collection

Focus Group Moderator's Guide

IC 200325 under ICR 201305-0920-007 · OMB 0920-0915.

Documents and Forms

Document Name Document Type
Att 4_FG Mod Gud.docx Other-WORD
Demographic Information Sheet-1.docx Demographic Information Sheet-1 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus Group Moderator's Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-WORD			Att 4_FG Mod Gud.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	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	90	90
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Demographic Information Sheet-1	Demographic Information Sheet-1.docx	01/05/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.