Information Collection

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

IC 238629 under ICR 201711-2010-001 · OMB 2010-0042.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.