Information Collection

Program Participants Focus Group (Girls and Female Adolescents)

IC 194093 under ICR 201309-0990-002 · OMB 0990-0360.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
20078 ID_OMB 0360 Respondent-Program Participants aged 9-11 years follow-up instrument 9_14_10.doc	Other-study
20078 ID_OMB 0360 Respondent-Program Participants aged 12-17 years pre-test instrument 9_16_10.doc	Other-study
20078 ID_Respondent-Program Participant Focus Group Protocol 9_14_10_.doc	Other-e

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-study	20078 ID_OMB 0360 Respondent-Program Participants aged 9-11 years follow-up instrument 9_14_10.doc	No	No	Printable Only
Other-study	20078 ID_OMB 0360 Respondent-Program Participants aged 12-17 years pre-test instrument 9_16_10.doc	No	No	Fillable Printable
Other-e	20078 ID_Respondent-Program Participant Focus Group Protocol 9_14_10_.doc	No	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.