Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Synchronous Focus Group Consent - Clinician and Healthcare Professionals New 10 1 0 Form D3
Asynchronous Focus Group Consent - Patients and Care Partners New 10 1 0 Form D2
Asynchronous Focus Group Consent-Clinicians and Healthcare Professionals New 90 8 0 Form D1
Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals New 90 128 0 Form C1
Asynchronous Focus Group Questions for Patients and Care Partners New 10 14 0 Form C2
Prescreening Questionnaire for Clinicians and Healthcare Professionals New 750 63 0 Form B1
Prescreening Questionnaire for Patients and Care Partners New 675 56 0 Form B2
Prescreening Questionnaire for Patients and Care Partners (Spanish) New 75 6 0 Form B3
Synchronous Focus Group Consent (Spanish) - Patients and Care Partners New 10 1 0 Form D4
Synchronous Focus Group Consent - Patients and Care Partners New 80 7 0 Form D5
Synchronous Focus Group Questions for Clinicians and Healthcare Professionals New 10 14 0 Form C3
Synchronous Focus Group Questions for Patients and Care Partners New 80 113 0 Form C4
Synchronous Focus Group Questions for Patients and Care Partners (Spanish) New 10 14 0 Form C5
Total burden requested under this ICR: 1900 426 0  
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