Information Collection

Community Opinions on Communication Strategies and Tools about Cancer and Environmental Hazards

IC 247650 under ICR 201810-0923-002 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment Community Opinions on Communication Strategies and Tools about Cancer and Environmental Hazards	Form and Instruction
AttC.Community_Fg_Facilitators_Guide.docx	Other-Focus group guide
Recruitment AttA.FocusGroupRecruitment.docx	Form and Instruction
AttB.FocusGroupInfoSheet.docx Focus group information sheet	IC Document
ATSDR 0923-0047 GnrcClrncQualFdbkTmpltapprvlFrm_20210525.docx genIC Request for Approval	IC Document
AttD.STARSDetermination.pdf STARS determination	IC Document

IC Title:

Community Opinions on Communication Strategies and Tools about Cancer and Environmental Hazards

Agency IC Tracking Number:

0923-0047-21FK

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	none				Yes	No	Paper Only
Other-Focus group guide					Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 270

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	270	270
Annual IC Time Burden (Hours)	205	205
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus group information sheet		05/27/2021
genIC Request for Approval		05/27/2021
STARS determination		05/27/2021

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

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