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

View Information Collection (IC)

Virtual Focus Groups with Primary Care Physicians and OBGYNs 0920-0840-20CL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0840 No   Printable Only
Other-WORD No   Printable Only
Form 0920-0840 Yes Yes Fillable Fileable

Health Illness Prevention

 

528 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 528 0 528 0 0 0
Annual IC Time Burden (Hours) 233 0 233 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 11/20/2019
Supporting Statement B 11/14/2019
Att 1_Autho Leg 11/14/2019
Att 2_Initial Recruitment Email 11/14/2019
Att 5_Focus Group Participation Confirmation 11/14/2019
Att 6_ Focus Group Recruitment Spreadsheet 11/14/2019
Att 8_IRB Approval 11/14/2019
Att 9_Data Management Plan 11/14/2019
Att 10_PIA 11/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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