Focus Groups - Individual Respondents

Independent Assessment of the Delivery of Technical and Financial Assistance

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.