Information Collection

"Make Your Calories Count Focus Group Study"

IC 193902 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⚠️ Notice: This information collection may be referencing outdated material.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
Focus Group MYCC - Screener.doc	Other-Focus Goup Study- Participant
MYCC focus group AppendixI_Screener_07_17_09_EC.doc	Other-Focus Group Study - REVISED Pa
Focus Group Memo-MYCC.doc Focus Group Memo-MYCC	IC Document
Focus Group MYCC-Moderator Guide.doc Focus Group MYCC-Moderator Guide	IC Document
MYCC Focus Group AppendixIII.pdf MYCC Focus Group AppendixIII	IC Document
Memorandum MYCC Focus Groups 09_15_10.doc REVISED - Focus Group Memo	IC Document
MYCC focus group Appendix II_Mod Guide_09_15_10.doc REVISED focus group Appendix II_Moderator Guide	IC Document
MYCC.pdf MYCC	IC Document

IC Title:

"Make Your Calories Count 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-Focus Goup Study- Participant Screener			Focus Group MYCC - Screener.doc		No	No	Paper Only
Other-Focus Group Study - REVISED Participant Screener			MYCC focus group AppendixI_Screener_07_17_09_EC.doc		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

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	96	0	0	0	0	0
Annual IC Time Burden (Hours)	202	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
Focus Group Memo-MYCC	Focus Group Memo-MYCC.doc	07/21/2010
Focus Group MYCC-Moderator Guide	Focus Group MYCC-Moderator Guide.doc	07/21/2010
MYCC Focus Group AppendixIII	MYCC Focus Group AppendixIII.pdf	07/21/2010
REVISED - Focus Group Memo	Memorandum MYCC Focus Groups 09_15_10.doc	09/16/2010
REVISED focus group Appendix II_Moderator Guide	MYCC focus group Appendix II_Mod Guide_09_15_10.doc	09/16/2010
MYCC	MYCC.pdf	09/16/2010

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