Information Collection

Focus Groups

IC 195901 under ICR 201101-0930-002 · OMB 0930-0322.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Focus groups-instr Focus Groups	Form and Instruction
Focus groups-instr Focus groups-instruments Focus Groups-Instruments.pdf	Form and Instruction
Focus Groups-Other.pdf Focus Groups-Other	IC Document

IC Title:

Focus Groups

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 and Instruction	Focus groups-instruments	Focus groups-instruments	Focus Groups-Instruments.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 208

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	328	328
Annual IC Time Burden (Hours)	272	272
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Groups-Other	Focus Groups-Other.pdf	04/07/2011

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