Survey Document for Radiological Messages Among Public Health Workers - Focus Group Participants

Focus Group Testing and Survey of Radiological Event Messages for Public Health Workers

Documents and Forms

Document Name Document Type
Attchment B - Email and Focus Group Survey Document.doc Other-Focus Group Survey
Atachment E Focus Group DiscussionGuide.doc Focus Group Discussion Guide IC Document

Information Collection (IC) Details

IC Title:	Survey Document for Radiological Messages Among Public Health Workers - Focus Group Participants	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
Other-Focus Group Survey			Attchment B - Email and Focus Group Survey Document.doc		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Discussion Guide	Atachment E Focus Group DiscussionGuide.doc	01/15/2008

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