OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Consumer Focus Groups-Nonrespondents

IC 190849 under ICR 200906-0583-001 · OMB 0583-0141.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Parents of Young Children < 5 yrs. old Consumer Focus Groups-Nonrespondents Form
Parents of Young Children < 5 yrs. old Consumer Focus Groups-Nonrespondents Form
General Population Consumer Focus Groups-Nonrespondents Form
Immunocompromised Consumer Focus Groups-Nonrespondents Form
Young Adults (18-24 years old) Consumer Focus Groups-Nonrespondents Form
Underserved Population Consumer Focus Groups-Nonrespondents Form
Older Adults (60 +) Consumer Focus Groups-Nonrespondents Form
General Population Consumer Focus Groups-Nonrespondents Form
Immunocompromised Consumer Focus Groups-Nonrespondents Form
Older Adults (60 +) Consumer Focus Groups-Nonrespondents Form
Young Adults (18-24 years old) Consumer Focus Groups-Nonrespondents Form
Underserved Population Consumer Focus Groups-Nonrespondents Form
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents.doc 		Form
General Population
Focus Groups Screeening Questionnaire-General.doc 		Form
Immunocompromised
Focus Groups Screening Questionnaire-Immuno.doc 		Form
Young Adults (18-24 years old)
Focus Groups Screening Questionnaire-YoungAd.doc 		Form
Underserved Population
Focus Groups Screening Questionnaire-Underserved.doc 		Form
Older Adults (60 +)
Focus Groups Screening Questionnaire-Older.doc 		Form
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents_REV.doc 		Form
General Population
Focus Groups Screening Questionnaire_general_REV.docx 		Form
Immunocompromised
Focus Groups Screening Questionnaire-Immuno_REV.doc 		Form
Older Adults (60 +)
Focus Groups Screening Questionnaire-Older_REV.doc 		Form
Young Adults (18-24 years old)
Focus Groups Screening Questionnaire-YoungAd_REV.doc 		Form
Underserved Population
Focus Groups Screening Questionnaire-Underserved_REV.doc 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only
Form None No   Paper Only

Federal Enterprise Architecture Business Reference Module


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 268 0 268 0 0 0
Annual IC Time Burden (Hours) 17 0 17 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
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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