Focus group with patients

Development of the Guide to Patient and Family Engagement in Health Care Quality and Safety in the Hospital Setting

Documents and Forms

Document Name Document Type
Form Form #7 Focus group with patients Form and Instruction
Form #7 Focus Group with Patients Protocol Attachment L -- Focus Group with Patients Protocol _070110.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Focus group with patients	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 #7	Focus Group with Patients Protocol	Attachment L -- Focus Group with Patients Protocol _070110.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	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.