Information Collection

Semi-structured qualitative focus group interview - Males

IC 224504 under ICR 201610-0920-013 · OMB 0920-1148.

Documents and Forms

Documents and forms in this information collection
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

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	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 %

table that charts list of burden
	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

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.