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Program Staff Focus Group Protocol 2 (Co-definition Phase)
Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits
OMB: 0906-0092
IC ID: 267285
OMB.report
HHS/HRSA
OMB 0906-0092
ICR 202407-0906-006
IC 267285
( )
Documents and Forms
Document Name
Document Type
Form 3
Program Staff Focus Group Protocol 2 (Co-definition Phase)
Form and Instruction
3 Program Staff Focus Group Protocol 2 (Co-definition Phas
Appendix G_Active Engagement_Instrument3.docx
Form and Instruction
3 0906-0092 3_Program Staff Focus Group Protocol 2-Codefin
0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Program Staff Focus Group Protocol 2 (Co-definition Phase)
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
3
Program Staff Focus Group Protocol 2 (Co-definition Phase)
Appendix G_Active Engagement_Instrument3.docx
Yes
Yes
Fillable Fileable
Form and Instruction
3
0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)
0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition.docx
Yes
Yes
Fillable Fileable
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:
24
Number of Respondents for Small Entity:
24
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
24
0
0
0
0
24
Annual IC Time Burden (Hours)
36
0
0
0
0
36
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.