Information Collection

OWH Active Duty and Veteran Women Focus Groups

IC 235573 under ICR 201803-0990-002 · OMB 0990-0281.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0281 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 OWH Active Duty and Veteran Women Focus Groups	Form
2 Active Duty/Veteran Women Discussion Guide ADVW FG Discussion Guide_5-30-19.docx	Form
1 Active Duty/Veteran Women Screening Instrument ADVW FG Screening Instrument_5-30-19.docx	Form
ADVW Formative Research Plan_5-30-19.docx Fast Track Active Duty/Veteran Women Focus Group	IC Document
OMB OWH ADVWH Supporting Statement B_5-30-19.docx Active Duty/ Veteran Women Focus Group Supplemental B	IC Document
OMB OWH ADVWH Supporting Statement A_5-30-19.docx Active Duty/Veteran Women Focus Groups Supporting Statement A	IC Document

IC Title:

OWH Active Duty and Veteran Women Focus Groups

Agency IC Tracking Number:

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	2	Active Duty/Veteran Women Discussion Guide	ADVW FG Discussion Guide_5-30-19.docx		No		Paper Only
Form	1	Active Duty/Veteran Women Screening Instrument	ADVW FG Screening Instrument_5-30-19.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 256

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	256	256
Annual IC Time Burden (Hours)	198	198
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Active Duty/Veteran Women Focus Group	ADVW Formative Research Plan_5-30-19.docx	06/07/2019
Active Duty/ Veteran Women Focus Group Supplemental B	OMB OWH ADVWH Supporting Statement B_5-30-19.docx	06/07/2019
Active Duty/Veteran Women Focus Groups Supporting Statement A	OMB OWH ADVWH Supporting Statement A_5-30-19.docx	06/07/2019

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