Information Collection

Sample Instrument: Parent Interview/Focus Group Guide

IC 251122 under ICR 202305-0920-001 · OMB 0920-1235.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1235 Sample Instrument: Parent Interview/Focus Group Guide	Form and Instruction
Form 0920-1235 Sample Instrument: Parent Interview/Focus Group Guide	Form and Instruction
0920-1235 Sample Instrument: Parent Interview/Focus Group Guide Att 7-Sample Instrument-Parent-Caregiver Interview-Focus Group Guide.docx	Form and Instruction
0920-1235 Sample Instrument: Parent Interview/Focus Group Guide Att 7-Sample Instrument-Parent-Caregiver Interview-Focus Group Guide.docx	Form and Instruction
0920-1235 Sample Instrument: Parent/Caregiver Survey Att 6-Sample Instrument-Parent-Caregiver Survey.docx	Form and Instruction
0920-1235 Sample Instrument: Parent/Caregiver Survey Att 6-Sample Instrument-Parent-Caregiver Survey.docx	Form and Instruction
0920-1235 Youth Interview/Focus Group Guide Att 5-Sample Instrument-Youth Focus Group Guide.docx	Form and Instruction
0920-1235 Youth Interview/Focus Group Guide Att 5-Sample Instrument-Youth Focus Group Guide.docx	Form and Instruction
0920-1235 Sample Instrument: Youth Pre/Post Questionnaire Att 4-Sample Instrument-Youth Pre-Post Questionnaire.docx	Form and Instruction
0920-1235 Sample Instrument: Youth Pre/Post Questionnaire Att 4-Sample Instrument-Youth Pre-Post Questionnaire.docx	Form and Instruction
0920-1235 Sample Instrument: Youth Questionnaire Att 3-Sample Instrument-Youth Questionnaire.docx	Form and Instruction
0920-1235 Sample Instrument: Youth Questionnaire Att 3-Sample Instrument-Youth Questionnaire.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Sample Instrument: Parent Interview/Focus Group Guide

Agency IC Tracking Number:

0920-1235

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	0920-1235	Sample Instrument: Parent Interview/Focus Group Guide	Att 7-Sample Instrument-Parent-Caregiver Interview-Focus Group Guide.docx	No	Paper Only
Form and Instruction	0920-1235	Sample Instrument: Parent/Caregiver Survey	Att 6-Sample Instrument-Parent-Caregiver Survey.docx	No	Fillable Fileable
Form and Instruction	0920-1235	Youth Interview/Focus Group Guide	Att 5-Sample Instrument-Youth Focus Group Guide.docx	No	Paper Only
Form and Instruction	0920-1235	Sample Instrument: Youth Pre/Post Questionnaire	Att 4-Sample Instrument-Youth Pre-Post Questionnaire.docx	No	Fillable Fileable
Form and Instruction	0920-1235	Sample Instrument: Youth Questionnaire	Att 3-Sample Instrument-Youth Questionnaire.docx	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	87,000	87,000
Annual IC Time Burden (Hours)	57,584	57,584
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.