Information Collection

Focus Groups with Nutrition Educators (CFSAN)

IC 243079 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix II - Moderators Guide.docx	Other-Moderators Guide
Consent Form.docx	Other-Consent Form
Confirmation Email for Qualifying Participants.docx	Other-Confirmation Email
0497 OMB Approval Memo Focus Groups with Nutrition Educators 2020.docx OMB Approval Memo	IC Document
Terms of clearance.docx Terms of Clearance	IC Document

IC Title:

Focus Groups with Nutrition Educators (CFSAN)

Agency IC Tracking Number:

CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener	Appendix I - Participant Screener.docx	Yes	Yes	Fillable Fileable
Other-Moderators Guide	Appendix II - Moderators Guide.docx	Yes	No	Printable Only
Other-Consent Form	Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Confirmation Email	Confirmation Email for Qualifying Participants.docx	Yes	Yes	Printable 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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	410	410
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Approval Memo	0497 OMB Approval Memo Focus Groups with Nutrition Educators 2020.docx	08/10/2020
Terms of Clearance	Terms of clearance.docx	08/17/2020

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