Information Collection

Focus Group Moderators' Guide

IC 198634 under ICR 201201-0920-010 · OMB 0920-0926.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus Group Moderators' Guide	Form
Moderator's Guide Attachment C5_Moderators Guide (English)PROJ1DEC9REVISEDFINALcleancopy.doc	Form
Moderators Guide Spanish Attachment C6_Moderators Guide (Spanish)PROJ1DEC9REVISEDcleancopy.doc	Form
Attachment C3_InfCon(Eng)_proj1Dec9FINAL.doc Consent English	IC Document
Attachment C4_InfCon(Spanish)_proj1Dec9FINAL.doc Consent Spanish	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	none	Moderator's Guide	Attachment C5_Moderators Guide (English)PROJ1DEC9REVISEDFINALcleancopy.doc		Yes	No	Printable Only
Form	none	Moderators Guide Spanish	Attachment C6_Moderators Guide (Spanish)PROJ1DEC9REVISEDcleancopy.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

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 Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent English	Attachment C3_InfCon(Eng)_proj1Dec9FINAL.doc	12/19/2011
Consent Spanish	Attachment C4_InfCon(Spanish)_proj1Dec9FINAL.doc	12/19/2011

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