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Focus Groups with Family Caregivers
Testing successful health communications surrounding aging-related issues from the National Institute on Aging (NIA)
OMB: 0925-0634
IC ID: 204406
OMB.report
HHS/NIH
OMB 0925-0634
ICR 201103-0925-005
IC 204406
( )
Documents and Forms
Document Name
Document Type
Form 1
Focus Groups with Family Caregivers
Form and Instruction
1 Focus Group Questionnaires (Guide)
0925-0634 NIA Focus Group Question Guide--family caregiver rev 9.27.2012.doc
Form and Instruction
1 Pre-Focus Group Form
0925-0634 NIA pre-focus group questionnaire--family caregivers rev 9.27.2012.doc
Form and Instruction
0925-0634 family caregiver focus group generic_clearance_form doc rev 9.27.2012.doc
0925-0634 family caregiver focus group generic_clearance_form doc rev 9
IC Document
0925-0634 NIA mini supporting statement A--family caregiver project 10 2 2102.doc
0925-0634 NIA mini supporting statement A--family caregiver project 10 2 2102
IC Document
0925-0634 NIA mini supporting statement B--family caregivers project 9.27.2012.doc
0925-0634 NIA mini supporting statement B--family caregivers project 9
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups with Family Caregivers
Agency IC Tracking Number:
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
Form and Instruction
1
Focus Group Questionnaires (Guide)
0925-0634 NIA Focus Group Question Guide--family caregiver rev 9.27.2012.doc
No
No
Printable Only
Form and Instruction
1
Pre-Focus Group Form
0925-0634 NIA pre-focus group questionnaire--family caregivers rev 9.27.2012.doc
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
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
60
0
0
0
0
0
Annual IC Time Burden (Hours)
70
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0925-0634 family caregiver focus group generic_clearance_form doc rev 9
0925-0634 family caregiver focus group generic_clearance_form doc rev 9.27.2012.doc
10/05/2012
0925-0634 NIA mini supporting statement A--family caregiver project 10 2 2102
0925-0634 NIA mini supporting statement A--family caregiver project 10 2 2102.doc
10/05/2012
0925-0634 NIA mini supporting statement B--family caregivers project 9
0925-0634 NIA mini supporting statement B--family caregivers project 9.27.2012.doc
10/05/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.