Health Care Group Quarters Addendum

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 Health Care Group Quarters Addendum Form and Instruction
1 Recruitment emails Enclosure 2 - GQ health care cognitive testing recruitment emails.docx Form and Instruction
OMB Memo - First Addendum to notify OMB of change of recruiting method - GQ health care cognitive testing - v2.docx OMB Memo IC Document
Enclosure 1 - GQ health care cognitive testing OMB request letter.docx Initial OMB Memo for previosly approved package IC Document

Information Collection (IC) Details

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

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.