Assessing Satisfaction with Technical Assistance (TA) Provided to Racial and Ethnic Approaches to Community Health (REACH) Awardees

Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0800 can be found here:

Documents and Forms

Document Name Document Type
5. Facilitators Guide_030917.docx Other-WORD
4. Group Discussion Questions_ 030917.docx Other-WORD
1. Invitation email_020917.doc Invitation Email IC Document
2. Reminder email_020917.doc Reminder Email IC Document
3. Consent form_020917.docx Consent Form IC Document
6. Thank you email_020917.doc Thank You Email IC Document
GenIC_DCH Training and TA_03.16.2017.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Assessing Satisfaction with Technical Assistance (TA) Provided to Racial and Ethnic Approaches to Community Health (REACH) Awardees	Agency IC Tracking Number:	17TG

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-WORD			4. Group Discussion Questions_ 030917.docx		No		Paper Only
Other-WORD			5. Facilitators Guide_030917.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation Email	1. Invitation email_020917.doc	03/17/2017
Reminder Email	2. Reminder email_020917.doc	03/17/2017
Consent Form	3. Consent form_020917.docx	03/17/2017
Thank You Email	6. Thank you email_020917.doc	03/17/2017
Request for Approval	GenIC_DCH Training and TA_03.16.2017.docx	03/17/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.