Information Collection

Focus Groups on Childhood Obesity with Hispanic Primary Caregivers (CFSAN)

IC 239878 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Appendix I - Participant Screener.docx Other-Survey Instrument
Appendix II - Moderator Guide.docx Other-Moderator Guide
Consent Form.docx Other-Participant Consent Form
0497 Approval Memo Childhood Obesity Hispanic Primary Caregivers 2020.docx OMB Approval Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus Groups on Childhood Obesity with Hispanic Primary Caregivers (CFSAN)	Agency IC Tracking Number:	CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument	Appendix I - Participant Screener.docx	Yes	No	Paper Only
Other-Moderator Guide	Appendix II - Moderator Guide.docx	Yes	No	Paper Only
Other-Participant Consent Form	Consent Form.docx	Yes	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	266	266
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0497 Approval Memo Childhood Obesity Hispanic Primary Caregivers 2020.docx	02/10/2020

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