Information Collection

Focus groups

IC 189381 under ICR 200905-0935-003 · OMB 0935-0156.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #1 Focus groups	Form and Instruction
Form #1 Focus Group Guide Attachment B -- Focus Group Guide 4-24-09.doc	Form and Instruction
Attachment C -- Focus Group Introduction.doc Attachment C -- Focus Group Introduction	IC Document

IC Title:

Focus groups

Agency IC Tracking Number:

Is this a Common Form? No

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
Form and Instruction	Form #1	Focus Group Guide	Attachment B -- Focus Group Guide 4-24-09.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment C -- Focus Group Introduction	Attachment C -- Focus Group Introduction.doc	05/20/2009

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