Semi-structured qualitative focus group interview - Males

Formative Assessment Regarding Contraception Use in the U.S. Virgin Islands (USVI) in the Context of Zika

Documents and Forms

Document Name Document Type
Semi-structured qualitative focus group interview - Males Form and Instruction
Focus Group Interview - USVI Males Att D_USVI Zika Contraceptive_Men_Focus Group Instrument_USVI.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Semi-structured qualitative focus group interview - Males	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Focus Group Interview - USVI Males	Att D_USVI Zika Contraceptive_Men_Focus Group Instrument_USVI.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 90-20-0136 Epidemiological Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	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.