Information Collection

Instrument 5: Focus groups with fathers

IC 239037 under ICR 201912-0970-006 · OMB 0970-0540.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0540 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 5 Focus Group Protocol Fathers_clean_v2.docx	Other-Protocol

IC Title:

Instrument 5: Focus groups with fathers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Protocol					No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 104

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	104	104
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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