Information Collection

Focus Group

IC 210539 under ICR 201402-2528-002 · OMB 2528-0300.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HDS-LGT_Disc Guide.docx	Other-Discussion Guide
Participant Information form HDS-LGT_Partic Info Form.docx	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Guide			HDS-LGT_Disc Guide.docx		No		Paper Only
Form	N/A	Participant Information form	HDS-LGT_Partic Info Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

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	75	75
Annual IC Time Burden (Hours)	113	113
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.