Information Collection

Screening for Consumer Focus Groups

IC 209298 under ICR 201311-2070-001 · OMB 2070-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2487ss01-A_AttachB.docx	Other-Screening Interview Questionna
2487ss01-A_AttachC.docx	Other-Screening Interview Questionna

IC Title:

Screening for Consumer 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
Other-Screening Interview Questionnaire for "Leaning Green" Consumer Focus Group			2487ss01-A_AttachB.docx		No		Paper Only
Other-Screening Interview Questionnaire for General Adult Consumer			2487ss01-A_AttachC.docx		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

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	900	900
Annual IC Time Burden (Hours)	150	150
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.