Information Collection

CRWG Family Small Focus Group Script

IC 193200 under ICR 201006-0704-001 · OMB 0704-0469.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CRWG and Westat Family Small Focus Group Script Version 8JUN2010.docx	Other-Focus Group Script
STATEMENT OF DETERMINATION Focus Groups.docx Statement of Determination	IC Document
Signed Neyland Letter.pdf Emergency Request	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
Other-Focus Group Script			CRWG and Westat Family Small Focus Group Script Version 8JUN2010.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 216

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	216	216
Annual IC Time Burden (Hours)	216	216
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Statement of Determination	STATEMENT OF DETERMINATION Focus Groups.docx	06/09/2010
Emergency Request	Signed Neyland Letter.pdf	06/09/2010

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