OMB
.report
Search
Health Benefits Focus Group
Focus Groups As Used By EPA For Economics Projects (Renewal)
OMB: 2090-0028
IC ID: 221516
OMB.report
EPA/AdmO
OMB 2090-0028
ICR 202201-2090-001
IC 221516
( )
Documents and Forms
Document Name
Document Type
2205.18 Health Benefits Focus Group Script.docx
Other-Other
health benefit IC_script_09272016_clean.docx
Other-focus group script
2205ss18 Health Benefits Generic.docx
2205ss18 Health Benefits Generic
IC Document
health benefit IC_supporting statement_09282016_clean.docx
Supporting statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Health Benefits Focus Group
Agency IC Tracking Number:
IC Status:
Removed
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
Other-Other
2205.18 Health Benefits Focus Group Script.docx
No
Paper Only
Other-focus group script
health benefit IC_script_09272016_clean.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
0
0
-100
0
0
100
Annual IC Time Burden (Hours)
0
0
-200
0
0
200
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2205ss18 Health Benefits Generic
2205ss18 Health Benefits Generic.docx
05/13/2016
Supporting statement
health benefit IC_supporting statement_09282016_clean.docx
09/28/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.