Focus Groups Guide

Promoting HIV Testing among Low Income Heterosexual Young Adult Black Men

Documents and Forms

Document Name Document Type
Form 3c Focus Groups Guide Form and Instruction
0920-09CJ_att3b_One-on-One Interview Guide OADS.06162010.docx Other-Interview Guide
0920-09CJ_att3f_Phase 3 Focus Groups Guide.OADS.docx Other-Focus Group Guide
3a Screening Tool 0920-09CJ_att3a_Screener for One-on-One Interviews.OADS.docx Form and Instruction
3c Screener for One-on-One Surveys 0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys.OADS.docx Form and Instruction
3d Survey Instruments 0920-09CJ_att3d_Phase 2 One-on-One Surveys.OADS.docx Form
3e Screener for Focus Groups 0920-09CJ_att3e_Phase 3 Screener for Focus Groups.OADS.docx Form and Instruction
0920-09CJ_att3g_Phase 1 Qualitative Interview Screening Script.doc 0920-09CJ_att3g_Phase 1 Qualitative Interview Screening Script IC Document
0920-09CJ_att3h_Phase 2 Quantitative Survey Screening Script.doc 0920-09CJ_att3h_Phase 2 Quantitative Survey Screening Script IC Document
0920-09CJ_att3I_Phase 3 Focus Groups Screening Script.doc 0920-09CJ_att3I_Phase 3 Focus Groups Screening Script IC Document

Information Collection (IC) Details

IC Title:	Focus Groups Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3c	Screener for One-on-One Surveys	0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys.OADS.docx	Yes	Yes	Fillable Fileable
Form	3d	Survey Instruments	0920-09CJ_att3d_Phase 2 One-on-One Surveys.OADS.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3e	Screener for Focus Groups	0920-09CJ_att3e_Phase 3 Screener for Focus Groups.OADS.docx	Yes	Yes	Fillable Fileable
Other-Focus Group Guide			0920-09CJ_att3f_Phase 3 Focus Groups Guide.OADS.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3a	Screening Tool	0920-09CJ_att3a_Screener for One-on-One Interviews.OADS.docx	Yes	Yes	Fillable Fileable
Other-Interview Guide			0920-09CJ_att3b_One-on-One Interview Guide OADS.06162010.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-09CJ_att3g_Phase 1 Qualitative Interview Screening Script	0920-09CJ_att3g_Phase 1 Qualitative Interview Screening Script.doc	06/29/2010
0920-09CJ_att3h_Phase 2 Quantitative Survey Screening Script	0920-09CJ_att3h_Phase 2 Quantitative Survey Screening Script.doc	06/29/2010
0920-09CJ_att3I_Phase 3 Focus Groups Screening Script	0920-09CJ_att3I_Phase 3 Focus Groups Screening Script.doc	06/29/2010

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