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

View Information Collection (IC)

HEADS UP Audience Research Study 16AGZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA FOCUS GROUP SCREENER AND FOLLOW UP FOCUS GROUP SCREENER Attachment B_Screener.docx NA No   Paper Only
Form and Instruction NA FOCUS GROUP AND FOLLOW UP FOCUS GROUP INSTRUMENT Attachment C_Instruments.docx NA No   Paper Only

Health Public Health Monitoring

 

280 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 280 0 280 0 0 0
Annual IC Time Burden (Hours) 165 0 165 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Burden Table Attachment E_Burden Table.docx 05/03/2016
Project Description Attachment A_Project Description.docx 05/03/2016
Informed Consent Attachment D_Informed Consent.docx 05/03/2016
List of Attachments genic List of Attachments_FG.DOCX 05/03/2016
HMTS Expedited Review Form HMTSExpeditedReviewForm_03MAY2016.pdf 05/03/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.