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 Final Synchronous Focus Group Consent-Clinicians and Healthcare Professionals
Asynchronous Focus Group Consent - Patients and Care Partners New 10 1 0 Form D2 Asynchronous Focus Group Consent-Patients and Care Partners
Asynchronous Focus Group Consent-Clinicians and Healthcare Professionals New 90 8 0 Form D1 Final Asynchronous Focus Group Consent-Clinicians and Healthcare Professionals
Asynchronous Focus Group Questions for Clinicians and Healthcare Professionals New 90 128 0 Form C1 Asynchronous Focus Group Questions-Clinicians and Healthcare Professionals
Asynchronous Focus Group Questions for Patients and Care Partners New 10 14 0 Form C2 Asynchronous Focus Group Questions-Patients and Care Partners
Prescreening Questionnaire for Clinicians and Healthcare Professionals New 750 63 0 Form B1 Prescreening Questionnaire for Clinicians and Healthcare Professionals
Prescreening Questionnaire for Patients and Care Partners New 675 56 0 Form B2 Patients and Care Partners Prescreening Questionnaire
Prescreening Questionnaire for Patients and Care Partners (Spanish) New 75 6 0 Form B3 Prescreening Questionnaire for Patients and Care Partners (Spanish)
Synchronous Focus Group Consent (Spanish) - Patients and Care Partners New 10 1 0 Form D4 Final Synchronous Focus Group Consent-Patient and Care Partners (Spanish)
Synchronous Focus Group Consent - Patients and Care Partners New 80 7 0 Form D5 Synchronous Focus Group Consent-Patients and Care Partners (English).docx
Synchronous Focus Group Questions for Clinicians and Healthcare Professionals New 10 14 0 Form C3 Synchronous Focus Group Interview Questions-Clinicians and Healthcare Professionals
Synchronous Focus Group Questions for Patients and Care Partners New 80 113 0 Form C4 Synchronous Focus Group Questions for Patients and Care Partners
Synchronous Focus Group Questions for Patients and Care Partners (Spanish) New 10 14 0 Form C5 Synchronous Focus Group Questions for Patients and Care Partners (Spanish)
Total burden requested under this ICR: 1900 426 0  
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