View Information Collection (IC)

View Information Collection (IC)

2015 Focus Group Testing with General Public 15ARO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Screener and Recruitment Att B-1. Screening and Recruitment Form_English_6 22 2015.doc Yes No Fillable Printable
Form and Instruction none Screener and Recruitment - Spanish Att B-2. Screening and Recruitment Form_Spanish_6 22 2015.doc Yes No Fillable Printable
Form and Instruction none Focus Group Guide Att A-1. Focus Group Discussion Guide_English_6 22 2015.doc Yes No Paper Only
Form and Instruction none Focus Group Guide - Spanish Att A-2. Focus Group Discussion Guide_Spanish_6 22 2015.doc Yes No Paper Only

Health Consumer Health and Safety

 

756 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 756 0 756 0 0 0
Annual IC Time Burden (Hours) 529 0 529 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A SS A. 2015 Screen For Life _6 22 2015.doc 06/24/2015
Supporting Statement B SS B. 2015 Screen for Life_6 22 2015.docx 06/24/2015
Consent Att C-1. Consent Form English _6 22 2015.doc 06/24/2015
Consent - Spanish Att C-2. Consent Form_Spanish_6 22 2015.docx 06/24/2015
Creative Concepts Att D. Creative Concepts Brief_6 22 2015.doc 06/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.