Information Collection

Factors related to Listeriosis Prevention in Pregnant Women: a Focus Group Study

IC 189701 under ICR 200803-0910-002 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB request Appendix II moderator guide.doc	Other-fogus group moderator's guide
listeriosis 8-18-09 Appendix I screener incentive revised.doc	Instruction
OMB request Appendix III references.doc OMB request Appendix III references	IC Document
listeriosis memo 8-18-09 incentive revised.doc Justification memo	IC Document

IC Title:

Factors related to Listeriosis Prevention in Pregnant Women: a Focus Group Study

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-fogus group moderator's guide			OMB request Appendix II moderator guide.doc		No	No	Paper Only
Instruction			listeriosis 8-18-09 Appendix I screener incentive revised.doc		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	72	0	0	0	0	0
Annual IC Time Burden (Hours)	144	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB request Appendix III references	OMB request Appendix III references.doc	06/19/2009
Justification memo	listeriosis memo 8-18-09 incentive revised.doc	08/18/2009

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