OWH Active Duty and Veteran Women Focus Groups

Prevention Communication Formative Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.