Information Collection

Focus Groups - Individual Respondents

IC 193961 under ICR 201007-0503-003 · OMB 0503-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 2 Focus Group Questions 9-23.doc	Other-Focus Group Questions
Appendix 3 Focus Group Participant Communications.doc Focus Group Advance Letter/Phone Script	IC Document
Appendix 9 Westat Confidentiality.doc Westar Assurance of Confidentiality	IC Document
Appendix 10 JL Confidentiality.doc Jackson Lewis Assurance of Confidentiality	IC Document

IC Title:

Focus Groups - Individual Respondents

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 Questions			Appendix 2 Focus Group Questions 9-23.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

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 New Statute
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	1,013	1,013
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group Advance Letter/Phone Script	Appendix 3 Focus Group Participant Communications.doc	09/24/2010
Westar Assurance of Confidentiality	Appendix 9 Westat Confidentiality.doc	09/24/2010
Jackson Lewis Assurance of Confidentiality	Appendix 10 JL Confidentiality.doc	09/24/2010

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