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CPSC DEI Focus Group: Hispanic Consumer Study
Focus Groups
OMB: 3041-0136
IC ID: 254029
OMB.report
CPSC
OMB 3041-0136
ICR 202305-3041-001
IC 254029
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0136 can be found here:
2024-03-07 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Pre-Screen_Focus Group Recruitment_CPSC.pdf
Other-
Pre-Screen_Focus Group Recruitment_CPSC.pdf
Other-
DEI Focus Group_Consent Form.pdf
Other-
DEI Focus Group_Consent Form.pdf
Other-
DEI HA Guide_CPSC.pdf
Other-
DEI HA Guide_CPSC.pdf
Other-
DEI Creative Stimuli_CPSC.pdf
Other-
DEI Creative Stimuli_CPSC.pdf
Other-
DEI Focus Group_Supporting Statement.pdf
Supporting Statement
IC Document
DEI Focus Group_Supporting Statement.pdf
Supporting Statement
IC Document
DEI Focus Group_Confirmation Letter- Virtual Facility.pdf
Confirmation Letter
IC Document
DEI Focus Group_Confirmation Letter- Virtual Facility.pdf
Confirmation Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CPSC DEI Focus Group: Hispanic Consumer Study
Agency IC Tracking Number:
IC Status:
Unchanged
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-
Pre-Screen_Focus Group Recruitment_CPSC.pdf
No
Paper Only
Other-
DEI Focus Group_Consent Form.pdf
Yes
Yes
Fillable Fileable
Other-
DEI HA Guide_CPSC.pdf
No
Paper Only
Other-
DEI Creative Stimuli_CPSC.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
34
0
0
0
0
34
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement
DEI Focus Group_Supporting Statement.pdf
06/03/2022
Confirmation Letter
DEI Focus Group_Confirmation Letter- Virtual Facility.pdf
06/03/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.