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Bundled Sub-studies #7 (PSA Decision Making Focus Groups) and #8 (PIO Customer Satisfaction Survey)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 #7 Attach 7A, 7B, 7F Screener, FG Guide, Questionnaire #7 Attach 7A, 7B, 7F Screener, FG Guide, Questionnaire.docx Yes No Fillable Fileable
Form and Instruction 2 #8_Attach 8A_PIO Survey #8_Attach 8A_PIO Survey.docx Yes Yes Fillable Fileable
Form and Instruction 1 REVISED #7 #7_REV_Attach 7A 7B 7E Screener FG Guide Questionnaire.docx Yes No Fillable Fileable

Health Public Health Monitoring

SORN #09-25-0156, "Records of Participants in Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"  67 FR 60743

410 0
   
Individuals or Households
 
   60 %

  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 410 0 0 0 0 0
Annual IC Time Burden (Hours) 119 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo to OMB_Key to #7 and #8 Memo to OMB_Key to #7 and #8.doc 12/22/2010
Combined GS Form_0925-0046-7 & -8 Combined GS Form_0925-0046-7 & -8.doc 12/22/2010
#7 Justif Memo & Attach 7C & 7D_PSA_12-14-2010 #7 Justif Memo & Attach 7C & 7D_PSA_12-14-2010.docx 12/22/2010
#8_Justif Memo_PIO CTEP #8_Justif Memo_PIO CTEP.docx 12/22/2010
REVISED #7 Justification Memo and attachments #7_REV_Justif Memo Attach 7C 7D 7F_PSA_1-21-2011.docx 01/21/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.