Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR) Form and Instruction
1 Recruitment screener Attachment 1_RecruitmentScreener_Updated (1).docx Form and Instruction
2 Informed Consent Form Attachment 2_Informed Consent Form (6).docx Form and Instruction
3 homework instructions Attachment 3_Homework Instructions (2).docx Form and Instruction
4 Moderator's Guide Attachment 5_Moderator's Guide (4).docx Form and Instruction
Attachment 4_Outreach Language (9).docx Outreach Language IC Document
Attachment 6_TMD Brochure.pdf TMD brochure IC Document
Fast Track Template_NIDCR-TMD-FINAL-5.20.20-UPDATED-CLEAN.docx Fast track template for TMD focus group IC Document

Information Collection (IC) Details

IC Title:	Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	Recruitment screener	Attachment 1_RecruitmentScreener_Updated (1).docx	No	Paper Only
Form and Instruction	2	Informed Consent Form	Attachment 2_Informed Consent Form (6).docx	No	Paper Only
Form and Instruction	3	homework instructions	Attachment 3_Homework Instructions (2).docx	No	Paper Only
Form and Instruction	4	Moderator's Guide	Attachment 5_Moderator's Guide (4).docx	No	Paper Only

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: 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)	46	46
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Outreach Language	Attachment 4_Outreach Language (9).docx	05/20/2020
TMD brochure	Attachment 6_TMD Brochure.pdf	05/20/2020
Fast track template for TMD focus group	Fast Track Template_NIDCR-TMD-FINAL-5.20.20-UPDATED-CLEAN.docx	05/20/2020

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