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

View Information Collection (IC)

[NCZEID] DCIPHER External User Satisfaction Survey 0920-24CZ
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-24CX Eligibility Screener Attachment 1 - Eligibility Screener.docx Yes Yes Fillable Fileable
Form and Instruction 0920-24CX Eligible Participant Screener Attachment 3 - Eligible Participant Screener_FG.docx Yes Yes Fillable Fileable
Form and Instruction 0920-24CX Focus Group Moderator Guide Attachment 8 - Focus Group Moderator Guide .docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

532 0
   
Individuals or Households
 
   0 %

  Requested 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 532 0 0 0 0 532
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2 - Recruitment Materials_FG Attachment 2 - Recruitment Materials_FG.docx 02/13/2024
Attachment 4 - Privacy Agreement Attachment 4 - Privacy Agreement.docx 02/13/2024
Attachment 5 - Respondent Consent Form Attachment 5 - Respondent Consent Form_FG.docx 02/13/2024
Attachment 7 - Participant Confirmation Email_FG Attachment 7 - Participant Confirmation Email_FG.docx 02/13/2024
Attachment 6 - Standard Invitation_FG Attachment 6 - Standard Invitation_FG .docx 02/13/2024
Attachment 9 - Messages to be tested HABs Attachment 9 - Messages to be tested HABs.docx 02/13/2024
Attachment 10- Human Subjects Determination Attachment 10- Human Subjects Determination.pdf 02/13/2024
GenIC Request HAB Communication Evaluation GenIC Request HAB Communication Evaluation.docx 02/13/2024
SSA Supporting Statement A.docx 02/13/2024
Supporting Statement B Supporting Statement B.docx 02/13/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.