Information Collection

Focus Groups-retain Employers

IC 240720 under ICR 201802-0920-007 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	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

table that charts IC Documents
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.