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

View Information Collection (IC)

Foundational Focus Groups
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-FFG- Part A, Attachment D Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment E Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment F Yes Yes Fillable Fileable
Other-FFG-Part A, Attachment G Yes Yes Fillable Fileable
Other-FFG-Part B, Attachment B Yes Yes Fillable Fileable
Other-Screener - Definite Waiters Yes Yes Fillable Fileable
Other-Screener - American Indian Yes Yes Fillable Fileable
Other-Screener - Asian american Yes Yes Fillable Fileable
Other-Screener - African American Yes Yes Fillable Fileable
Other-Screener - Hispanic Yes Yes Fillable Fileable
Other-Screener - Native Hawaiian Yes Yes Fillable Fileable
Other-Screener - Unsure Waiters Yes Yes Fillable Fileable
Other-Screener - Vaccinated Gen Pop Yes Yes Fillable Fileable
Other-Testing-Screener-7-12-21 Yes Yes Fillable Fileable
Other-Adult Screener Yes Yes Fillable Fileable
Other-Parents Screener Yes Yes Fillable Fileable
Other-Parent FG Screener 3-17-22 Yes Yes Fillable Fileable
Other-FFG Parent FG Screener 04-12-23 Yes Yes Fillable Fileable
Other-FFG Parent FG Discussion Guide 04-12-23 Yes Yes Fillable Fileable
Other-FFG_Rebrand FG Discussion Guide 06-05-23 Yes Yes Fillable Fileable
Other-FFG_Rebrand FG Screener 06-05-23 Yes Yes Fillable Fileable

Health Health Care Services

 

50,000 0
   
Individuals or Households
 
   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 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 7,750 0 0 0 0 7,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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