Focus group screener

Availability, Use, and Public Health Impact of Emergency Supply Kits among Disaster-Affected Populations

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.