Information Collection

Focus Group Discussion

IC 222554 under ICR 201608-0920-005 · OMB 0920-1126.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus Group Discussion	Form and Instruction
Rapid Assessment: US-Based Migrant Farm Workers’ Underst Attachment E Focus Group Discussion Field Guide - English.docx	Form and Instruction
Rapid Assessment: US-Based Migrant Farm Workers’ Underst Appendix F_FGD_FieldGuide_Spanish_CLEAN_ 8-4-2016.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	NA	Rapid Assessment: US-Based Migrant Farm Workersâ Understanding and Use of Measures to Prevent Zika Transmission - Focus Group Discussion Guide - English	Attachment E Focus Group Discussion Field Guide - English.docx	NA	No		Paper Only
Form and Instruction	NA	Rapid Assessment: US-Based Migrant Farm Workersâ Understanding and Use of Measures to Prevent Zika Transmission - Focus Group Discussion Guide - Spanish 09AUG2016	Appendix F_FGD_FieldGuide_Spanish_CLEAN_ 8-4-2016.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

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	120	120
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
No associated records found

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