Information Collection

Focus Group with Consumers

IC 192694 under ICR 201004-0920-009 · OMB 0920-0855.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus Group with Consumers	Form
Focus Group Guide for Farmers Market Consumers Appendix H-1 Consumer FG Guide_01.21.10.doc	Form
Appendix H-2 Consumer FG Consent Form_01.21.10.doc Focus Group Consent for Farmers Market Consumers	IC Document

IC Title:

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	none	Focus Group Guide for Farmers Market Consumers	Appendix H-1 Consumer FG Guide_01.21.10.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

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 Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group Consent for Farmers Market Consumers	Appendix H-2 Consumer FG Consent Form_01.21.10.doc	04/01/2010

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