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Focus Group with AI/AN Community Members with no Prior History of MI
Research to Reduce Time to Treatment for Heart Attack/Myocardial Infarction for Rural American Indians/Alaska Natives (AI/AN)
OMB: 0920-0797
IC ID: 185919
OMB.report
HHS/CDC
OMB 0920-0797
ICR 200807-0920-005
IC 185919
( )
Documents and Forms
Document Name
Document Type
Att 6A. Discussion Guide No MI Group.doc
Other-Focus Group Discussion Guide f
Att 6B. Supplement for Discussion Guide No MI Group.doc
Supplement for no MI History Discussion Group
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Group with AI/AN Community Members with no Prior History of MI
Agency IC Tracking Number:
Is this a Common Form?
No
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
Other-Focus Group Discussion Guide for Community Members with no MI History
Att 6A. Discussion Guide No MI Group.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
8
0
0
8
0
0
Annual IC Time Burden (Hours)
40
0
0
40
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supplement for no MI History Discussion Group
Att 6B. Supplement for Discussion Guide No MI Group.doc
07/16/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.