Information Collection

Middle East Focus Groups and Survey

IC 218108 under ICR 201509-0704-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2014-0734 Recruitment Screener.docx	Other-Recruitment Screener
2014-0734 Consent Protocols for Survey, Focus Groups, Interviews.docx	Other-Informed Consent Protocol
2014-0734 Focus Group Protocol.doc	Other-Focus Group Questions
2014-0734 Cognitive Interview Protocol Revised (English).docx	Other-cognitive Interview Protocol
2014-0734 Survey Instrument Revised (English).docx	Other-Survey

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-Recruitment Screener	2014-0734 Recruitment Screener.docx	No	Paper Only
Other-Informed Consent Protocol	2014-0734 Consent Protocols for Survey, Focus Groups, Interviews.docx	No	Paper Only
Other-Focus Group Questions	2014-0734 Focus Group Protocol.doc	No	Paper Only
Other-cognitive Interview Protocol	2014-0734 Cognitive Interview Protocol Revised (English).docx	No	Paper Only
Other-Survey	2014-0734 Survey Instrument Revised (English).docx	No	Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	1,000	1,000

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.