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Focus Groups with Community Leaders
Micro-Finance Project for HIV Prevention
OMB: 0920-0756
IC ID: 181263
OMB.report
HHS/CDC
OMB 0920-0756
ICR 200707-0920-004
IC 181263
( )
Documents and Forms
Document Name
Document Type
Focus Groups with Community Leaders
Form and Instruction
Demographics Form for Community Leaders
Appendix K - Demographic data collection form_Comm leaders.doc
Form and Instruction
Focus Group Guide for Community Leaders
Appendix I - Focus group data collection instrument_Comm leaders.doc
Form and Instruction
Appendices F, P- Focus group consent forms_Comm leaders.doc
Focus Group Consent Forms for Community Leaders
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups with Community Leaders
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
None
Demographics Form for Community Leaders
Appendix K - Demographic data collection form_Comm leaders.doc
No
No
Paper Only
Form and Instruction
None
Focus Group Guide for Community Leaders
Appendix I - Focus group data collection instrument_Comm leaders.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
32
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
32
0
32
0
0
0
Annual IC Time Burden (Hours)
64
0
64
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Consent Forms for Community Leaders
Appendices F, P- Focus group consent forms_Comm leaders.doc
06/08/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.