Information Collection

CPSC Furniture Tip Over Focus Groups

IC 238025 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⚠️ Notice: This information collection may be referencing outdated material.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
CPSC Furniture Tipover Focus Groups OMB Package - Consent Form - FINAL 23SEP2019.doc	Other-Consent Form
CPSC Furniture Tipover Focus Groups OMB Package - E-mail - FINAL 23SEP2019.doc	Other-E-mail
CPSC Furniture Tipover Focus Groups OMB Package - Screener - FINAL 23SEP2019_v2.doc	Instruction
CPSC Furniture Tipover Focus Groups OMB Package - Focus Group Guide - FINAL 23SEP2019.doc	Instruction
CPSC Furniture Tipover Focus Groups OMB Package - Description - FINAL 23SEP2019.doc Description of Focus Group	IC Document

IC Title:

CPSC Furniture Tip Over 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	Instrument File	Available Electronically?	Electronic Capability
Instruction	CPSC Furniture Tipover Focus Groups OMB Package - Screener - FINAL 23SEP2019_v2.doc	No	Printable Only
Other-Consent Form	CPSC Furniture Tipover Focus Groups OMB Package - Consent Form - FINAL 23SEP2019.doc	No	Printable Only
Other-E-mail	CPSC Furniture Tipover Focus Groups OMB Package - E-mail - FINAL 23SEP2019.doc	No	Printable Only
Instruction	CPSC Furniture Tipover Focus Groups OMB Package - Focus Group Guide - FINAL 23SEP2019.doc	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

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	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of Focus Group	CPSC Furniture Tipover Focus Groups OMB Package - Description - FINAL 23SEP2019.doc	10/25/2019

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