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Focus Groups with Support Staff
Assessing the Feasibility of Disseminating Effective Health Center Products through Mobile Phone Applications
OMB: 0935-0193
IC ID: 201012
OMB.report
HHS/AHRQ
OMB 0935-0193
ICR 201202-0935-002
IC 201012
( )
Documents and Forms
Document Name
Document Type
Form Form #2
Focus Groups with Support Staff
Form and Instruction
Form #2 Support Staff Focus Group Discussion Guide
Attachment D -- Support Staff Focus Group Discussion Guide.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups with Support Staff
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
Form and Instruction
Form #2
Support Staff Focus Group Discussion Guide
Attachment D -- Support Staff Focus Group Discussion Guide.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
36
0
36
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.