Information Collection

Focus Groups on Childhood Obesity Education (Formative Research)

IC 232062 under ICR 201911-0910-015 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I Participant Screener.docx	Other-Screener
Consent Form.docx	Other-Consnet form
Appendix II Moderator Guide.docx	Other-Moderator Guide
Appendix III Body Chart Activity.docx	Other-Body Chart
0497 OMB Justification Memo 2018.docx OMB approval memo	IC Document

IC Title:

Focus Groups on Childhood Obesity Education (Formative Research)

Agency IC Tracking Number:

CFSAN

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Consnet form	Consent Form.docx	No	Paper Only
Other-Moderator Guide	Appendix II Moderator Guide.docx	No	Paper Only
Other-Body Chart	Appendix III Body Chart Activity.docx	No	Paper Only
Other-Screener	Appendix I Participant Screener.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	338	338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0497 OMB Justification Memo 2018.docx	07/06/2018

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