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HCP Audience Feedback Activity
Federal COVID Response - Audience Feedback to Inform Ongoing Messaging and Strategies for "Combat COVID" (OD)
OMB: 0925-0769
IC ID: 247687
OMB.report
HHS/NIH
OMB 0925-0769
ICR 202111-0925-006
IC 247687
( )
Documents and Forms
Document Name
Document Type
Form 4
HCP Audience Feedback Activity
Form and Instruction
4 Moderators Guide for Discussion with HCPs
Attachment 4 - Moderators Guide for Discussions with HCPs 111021.docx
Form and Instruction
4 Moderators Guide for Discussion with HCPs
Attachment 4 - Moderators Guide for Discussions with HCPs 111021.docx
Form and Instruction
5 Audience Feedback Team Sample Online Bulletin Board Prom
Attachment 5 - Audience Feedback Team Sample Online Bulletin Board Prompt 111021.docx
Form and Instruction
5 Audience Feedback Team Sample Online Bulletin Board Prom
Attachment 5 - Audience Feedback Team Sample Online Bulletin Board Prompt 111021.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HCP Audience Feedback Activity
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
4
Moderators Guide for Discussion with HCPs
Attachment 4 - Moderators Guide for Discussions with HCPs 111021.docx
No
Paper Only
Form and Instruction
5
Audience Feedback Team Sample Online Bulletin Board Prompt
Attachment 5 - Audience Feedback Team Sample Online Bulletin Board Prompt 111021.docx
No
Paper 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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
160
0
0
0
0
160
Annual IC Time Burden (Hours)
160
0
0
0
0
160
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.