Information Collection

Veteran's Community Reintegration Focus Groups

IC 209920 under ICR 201401-0704-001 · OMB 0704-0509.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final_Focus Group Facilitators Guide_FINAL.docx	Other-Focus Group Facilitators Guide
Final_IntakeForm_FINAL.pdf	Other-Intake Form
Revised_IntakeForm.pdf	Other-Revised Intake Form

IC Title:

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	Instrument File	Available Electronically?	Electronic Capability
Other-Focus Group Facilitators Guide	Final_Focus Group Facilitators Guide_FINAL.docx	No	Paper Only
Other-Intake Form	Final_IntakeForm_FINAL.pdf	No	Paper Only
Other-Revised Intake Form	Revised_IntakeForm.pdf	No	Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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	150	150
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	4,875	4,875

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.