Information Collection

Parent Focus Group Moderator

IC 224668 under ICR 201611-0920-009 · OMB 0920-1167.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Parent Focus Group Moderator	Form and Instruction
Parent Focus Group Moderator Guide - Parent of 6th Grade Att 24 Parent Focus Group Moderator Guide.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	Parent Focus Group Moderator Guide - Parent of 6th Grade Student at PYFP School	Att 24 Parent Focus Group Moderator Guide.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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	30	30
Annual IC Time Burden (Hours)	30	30
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.