Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2010-0042 can be found here:

Documents and Forms

Document Name Document Type
Form 7100-001 Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons Form
7100-001 Focus Group Work Sheet Focus Group Work Sheet_2019-11-25.docx Form
Generic Clearance Submission_OMB 2010-0042_WPS Poster Focus Groups_2019-11-25.docx Request for Approval under the Generic Clearance for the Colleciton of Routine Customer Feedback IC Document

Information Collection (IC) Details

IC Title:	Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons	Agency IC Tracking Number:	2434.95

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	7100-001	Focus Group Work Sheet	Focus Group Work Sheet_2019-11-25.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	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	27	27
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the Generic Clearance for the Colleciton of Routine Customer Feedback	Generic Clearance Submission_OMB 2010-0042_WPS Poster Focus Groups_2019-11-25.docx	11/26/2019

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