Information Collection

Focus Groups with Farmworkers - Evaluating videos and posters

IC 242224 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⚠️ Notice: This information collection may be referencing outdated material.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
Focus Group Moderator Guide (1).docx	Other-Moderator Guide
WPS Videos for Focus Group.docx WPS Videos for Focus Group	IC Document
PERC_CP_11x17_spanish.pdf PERC Poster	IC Document
WPS_ProtectPoster_A_Illustrations.pdf WPS Protect Poster Ilustrations	IC Document
2434ss.04 -Rationale.docx Rationale for Generic IC	IC Document

IC Title:

Focus Groups with Farmworkers - Evaluating videos and posters

Agency IC Tracking Number:

2434.104

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
Other-Moderator Guide			Focus Group Moderator Guide (1).docx		No		Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
WPS Videos for Focus Group	WPS Videos for Focus Group.docx	06/11/2020
PERC Poster	PERC_CP_11x17_spanish.pdf	06/11/2020
WPS Protect Poster Ilustrations	WPS_ProtectPoster_A_Illustrations.pdf	06/11/2020
Rationale for Generic IC	2434ss.04 -Rationale.docx	06/19/2020

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