Focus Group

Research on Evacuating Persons with Mobility Impairments

Documents and Forms

Document Name Document Type
Questionnaires-FocusGroup.docx Other-Focus Group Script
Recruitment Emails-FocusGroups.doc Recruitment Script IC Document
Interview Information Sheet-FocusGroups.docx Information Sheet IC Document

Information Collection (IC) Details

IC Title:	Focus Group	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 Script			Questionnaires-FocusGroup.docx		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Script	Recruitment Emails-FocusGroups.doc	04/24/2013
Information Sheet	Interview Information Sheet-FocusGroups.docx	04/24/2013

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