Information Collection

Focus Groups

IC 207087 under ICR 201410-1210-001 · OMB 1210-0151.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus Group Discussion Guide 5-28-13.docx	Other-Focus Group Discussion Guide
Sample Statement V1 5-28-13.docx	Other-Sample Statement version 1
Sample Statement V2 5-28-13.docx	Other-Sample Statement Version 2
Sample Statement V3 5-28-13.docx	Other-Sample Statement Version 3
Informed Consent Statement 8-1-13.docx	Other-Informed Consent Statement

IC Title:

Focus Groups

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 Discussion Guide	Focus Group Discussion Guide 5-28-13.docx	No	Paper Only
Other-Sample Statement version 1	Sample Statement V1 5-28-13.docx	No	Printable Only
Other-Sample Statement Version 2	Sample Statement V2 5-28-13.docx	No	Printable Only
Other-Sample Statement Version 3	Sample Statement V3 5-28-13.docx	No	Printable Only
Other-Informed Consent Statement	Informed Consent Statement 8-1-13.docx	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	50	50
Annual IC Time Burden (Hours)	75	75
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.