Information Collection

Focus group screener

IC 245448 under ICR 202101-0920-016 · OMB 0920-1344.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1344 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus group screener	Form and Instruction
Focus Group screener P_Att7A_FocusGrp Rcrtmnt Mtrls_20200924 clean.docx	Form and Instruction
Focus Group screener P_Att7A_FocusGrp Rcrtmnt Mtrls_20200924 clean.docx	Form and Instruction

IC Title:

Focus group screener

Agency IC Tracking Number:

0920-20QN

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
Form and Instruction	none	Focus Group screener	P_Att7A_FocusGrp Rcrtmnt Mtrls_20200924 clean.docx		Yes	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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	24	24
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	51	51

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.