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Focus Groups-retain Employers
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0953
IC ID: 240720
OMB.report
HHS/CDC
OMB 0920-0953
ICR 201802-0920-007
IC 240720
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:
2024-06-05 - Extension without change of a currently approved collection
2021-08-11 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0953
Focus Groups-retain Employers
Form and Instruction
0920-0953 Focus Group Discussion Guide For Employers
Attachment A_Focus Group Protocol for Employers_Retail.docx
Form and Instruction
0920-0953 Focus Group Discussion Guide For Employees
Attachment B_Focus Group Protocol for employees_Retail.docx
Form and Instruction
Generic_Clearance_Submission_Focus groups_Retail.docx
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups-retain Employers
Agency IC Tracking Number:
0920-0953-20LJ
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
0920-0953
Focus Group Discussion Guide For Employers
Attachment A_Focus Group Protocol for Employers_Retail.docx
No
Paper Only
Form and Instruction
0920-0953
Focus Group Discussion Guide For Employees
Attachment B_Focus Group Protocol for employees_Retail.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker 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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
72
0
72
0
0
0
Annual IC Time Burden (Hours)
108
0
108
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
Generic_Clearance_Submission_Focus groups_Retail.docx
03/12/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.