Information Collection

Maricopa County - Focus Groups

IC 214822 under ICR 201506-0607-003 · OMB 0607-0981.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	160	160
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.