DTV Focus Group Potential Participants Screener Questions

Message Testing Focus Groups and Interviews for the Digital-to-Analog Converter Box Program

Documents and Forms

Document Name Document Type
0660.DTVScreenerQuestions.REVISED.03-17-09.doc Other-Potential Participants Questio

Information Collection (IC) Details

IC Title:	DTV Focus Group Potential Participants Screener Questions	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-Potential Participants Questions			0660.DTVScreenerQuestions.REVISED.03-17-09.doc		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 328	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	328	328
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

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.