Focus Groups

Core Competencies Working Group

Documents and Forms

Document Name Document Type
Consent Form.docx Other-Consent Agreement
SAMPLE MODERATOR GUIDE.docx Other-Moderator's Guide
Screener 9-16-11.doc Other-Screener

Information Collection (IC) Details

IC Title:	Focus Groups	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consent Agreement	Consent Form.docx	Yes	No	Printable Only
Other-Moderator's Guide	SAMPLE MODERATOR GUIDE.docx	Yes	No	Printable Only
Other-Screener	Screener 9-16-11.doc	No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	120	0	120
Annual IC Time Burden (Hours)	277	20	257
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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