View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	National Institute of Dental and Craniofacial Research Focus Group Study	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NIDCR-FG Moderator Guide	7-12-16_NIDCR-FG_Moderator_Guide.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	NIDCR Focus Group Recruitment Screener	7_12_16_NIDCR_focus_groups_recruitment_screener.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	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	72	0	72	0	0	0
Annual IC Time Burden (Hours)	72	0	72	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
National Institute of Dental and Craniofacial Research Focus Group Study	NIDCR Foucs Group OMB Clearance Document_07_12_2016.doc	07/13/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.