Information Collection

Focus Groups

IC 218530 under ICR 201510-0930-001 · OMB 0930-0353.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Focus Group Materi Focus Groups	Form and Instruction
Focus Group Materi Focus Group Materials Attachment 2_Focus Group Materials_to_SAMHSA 10.14.15.docx	Form and Instruction
Attachment 1_Deployment Strategies_to_SAMHSA 10.14.15.docx Deployment Strategies	IC Document

IC Title:

Focus Groups

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
Form and Instruction	Focus Group Materials	Focus Group Materials	Attachment 2_Focus Group Materials_to_SAMHSA 10.14.15.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Deployment Strategies	Attachment 1_Deployment Strategies_to_SAMHSA 10.14.15.docx	10/14/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.