Discussion Guide

Developing Effective messages about Excess Alcohol Consumption: Formative Focus Groups with Adult Drinkers and Abstainers

Documents and Forms

Document Name Document Type
Discussion Guide Form and Instruction
Discussion Guide Attachment E- Discussion Guide_112316.docx Form and Instruction
Attachment F- Activity Worksheet Profile of an Excessive Drinker_112316.docx Att F_Activity Worksheet: Profile of an Excessive Drinker IC Document
Attachment G- Activity Worksheet Excessive Drinking Problems_112316.docx Att G_Activity Worksheet: Excessive Drinking Problems IC Document
Attachment H- Alcohol Definitions Stimuli_112316.pdf Att H_Stimuli: Alcohol Consumption Definitions IC Document

Information Collection (IC) Details

IC Title:	Discussion Guide	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	N/A	Discussion Guide	Attachment E- Discussion Guide_112316.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	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	72	72
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att F_Activity Worksheet: Profile of an Excessive Drinker	Attachment F- Activity Worksheet Profile of an Excessive Drinker_112316.docx	12/12/2016
Att G_Activity Worksheet: Excessive Drinking Problems	Attachment G- Activity Worksheet Excessive Drinking Problems_112316.docx	12/12/2016
Att H_Stimuli: Alcohol Consumption Definitions	Attachment H- Alcohol Definitions Stimuli_112316.pdf	12/12/2016

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