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

View Information Collection (IC)

Advancing COVID-19 Health Equity Research OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-AIM 1 focus group flyer 0497 AIM 1 Focus Group Flyer 7-14-22.pdf Yes No Printable Only
Other-AIM 1 screener 0497 AIM 1 Screening 7-14-22.docx Yes Yes Fillable Fileable
Other-AIM 1 focus group moderator guide 0497 Aim 1 Focus Group Moderator Guide 7-14-22.docx Yes Yes Fillable Fileable
Other-AIM 2 community leaders focus group flyer 0497 AIM 2 Focus Group Flyer Community Leaders 7-14-22.pdf Yes No Printable Only
Other-AIM 2 community leaders screener 0497 AIM 2 Community Leaders Screening 7-14-22.docx Yes Yes Fillable Fileable
Other-AIM 2 community leader focus group moderator guide 0497 AIM 2 Focus Group Community Leader Moderator Guide 7-14-22.docx Yes Yes Fillable Fileable
Other-AIM 2 healthcare professionals focus group flyer 0497 AIM 2 Focus Group Flyer Healthcare Profesionals 7-14-22.pdf Yes No Printable Only
Other-AIM 2 healthcare professionals focus group screener 0497 AIM 2 Healthcare Professionals Screening 7-14-22.docx Yes Yes Fillable Fileable
Other-AIM 2 healthcare professionals focus group moderator guide 0497 AIM 2 Healthcare Professionals Moderator Guide 7-14-22.docx Yes Yes Fillable Fileable

Health Health Care Services

 

144 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 144 0 144 0 0 0
Annual IC Time Burden (Hours) 230 0 230 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0947 OMB Memo Advancing COVID-19 Health Equity Research 0497 OMB Memo Advancing COVID-19 Health Equity Research 7-14-22.docx 07/14/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.