Information Collection

Child Interaction with Playground Surfacing Focus Groups

IC 224075 under ICR 201909-3041-002 · OMB 3041-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Crumb Rubber Study_GenericClearance - 10.16.2016.docx	Instruction
Crumb Rubber Study_GenericClearance - Final.docx Child Interaction with Playground Surfacing Focus Groups- Information and Moderator Guide	IC Document

IC Title:

Child Interaction with Playground Surfacing Focus Groups

Agency IC Tracking Number:

IC Status: Unchanged

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
Instruction			Crumb Rubber Study_GenericClearance - 10.16.2016.docx		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Child Interaction with Playground Surfacing Focus Groups- Information and Moderator Guide	Crumb Rubber Study_GenericClearance - Final.docx	02/17/2017

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