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Maricopa County - Focus Groups
2015 Census Test
OMB: 0607-0981
IC ID: 214822
OMB.report
DOC/CENSUS
OMB 0607-0981
ICR 201506-0607-003
IC 214822
( )
Documents and Forms
Document Name
Document Type
2015 Census Test Focus Maricopa Recruitment Script 06042015.docx
Other-Recruitment Script
Census Test 2015 Focus Group Maricopa Protocol_June 4.docx
Other-Maricopa County Protocol
Contact information worksheet_Maricopa_060415.docx
Other-Contact Information Worksheet
Focus Group Consent Form_June4.docx
Other-Focus Group Consent Form
Focus Group Worksheet_Maricopa__June 4.docx
Other-Focus Group Worksheet
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Maricopa County - Focus Groups
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Focus Group Consent Form
Focus Group Consent Form_June4.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Worksheet
Focus Group Worksheet_Maricopa__June 4.docx
Yes
Yes
Fillable Fileable
Other-Recruitment Script
2015 Census Test Focus Maricopa Recruitment Script 06042015.docx
Yes
Yes
Fillable Fileable
Other-Maricopa County Protocol
Census Test 2015 Focus Group Maricopa Protocol_June 4.docx
Yes
Yes
Fillable Fileable
Other-Contact Information Worksheet
Contact information worksheet_Maricopa_060415.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
80
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
80
0
0
0
0
80
Annual IC Time Burden (Hours)
160
0
0
0
0
160
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.