Pool Safely Focus Group

Focus Groups

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0136 can be found here:

Documents and Forms

Document Name Document Type
Pool Safely Focus Group Materials.pdf Instruction
Pool Safely Focus Group Materials.pdf Instruction
Pool Safely Focus Group Guide.pdf Instruction
Pool Safely Focus Group Guide.pdf Instruction
Screener PoolSafely Screener.docx Form and Instruction
Screener PoolSafely Screener.docx Form and Instruction
Pool Safely Focus Group Supporting Statement.pdf Pool Safely FG Supporting Statement IC Document
Pool Safely Focus Group Supporting Statement.pdf Pool Safely FG Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Pool Safely Focus Group	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Pool Safely Focus Group Materials.pdf	Yes	Yes	Fillable Printable
Instruction			Pool Safely Focus Group Guide.pdf	No		Fillable Fileable
Form and Instruction	NA	Screener	PoolSafely Screener.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pool Safely FG Supporting Statement	Pool Safely Focus Group Supporting Statement.pdf	02/23/2021

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