View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Focus Groups on proposed materials for a pediatric palliative care communications campaign
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Yes Yes Fillable Fileable
Form and Instruction 2 Yes Yes Fillable Fileable
Form and Instruction 3 Yes Yes Fillable Fileable

Health Health Care Services

 

69 0
   
Private Sector Businesses or other for-profits
 
   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 69 0 0 0 0 0
Annual IC Time Burden (Hours) 44 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form for Generic Fast Track Clearance_Focus Groups FINAL 05/23/2012
Appendix E_Materials_Storyboards video module 1 05/23/2012
Appendix E_Materials_Storyboards video module 2 05/23/2012
Appendix E_Materials_Interactive Worksheet 05/23/2012
Appendix E_Materials_Logo options 05/23/2012
Appendix E_Materials_Video description and scripts 05/23/2012
Appendix F_Correspondence 05/23/2012
Appendix A_ Focus Group Screener and consent 05/23/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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