Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide

[NCBDDD] Assessing Knowledge, Attitudes, and Practices (KAPs) of Hispanic or Latina Women of Reproductive Age about Folic Acid Fortification and Supplementation

Documents and Forms

Document Name Document Type
Form 0920-23AX Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide Form and Instruction
0920-23AX Online Screener English Attachment 20. Online Screener English.docx Form and Instruction
0920-23AX Online Screener English Attachment 20. Online Screener English.docx Form and Instruction
0920-23AX Online Screener Spanish Attachment 21. Online Screener Spanish.docx Form and Instruction
0920-23AX Online Screener Spanish Attachment 21. Online Screener Spanish.docx Form and Instruction
Attachment 35. Screenshots of Screener – English_202310.docx Attachment 35. Screenshots of Screener – English_202310 IC Document
Attachment 35. Screenshots of Screener – English_202310.docx Attachment 35. Screenshots of Screener – English_202310 IC Document
Attachment 36. Screenshots of Screener – Spanish_202310.docx Attachment 36. Screenshots of Screener – Spanish_202310 IC Document
Attachment 36. Screenshots of Screener – Spanish_202310.docx Attachment 36. Screenshots of Screener – Spanish_202310 IC Document

Information Collection (IC) Details

IC Title:	Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide	Agency IC Tracking Number:	0920-23AX

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	0920-23AX	Online Screener English	Attachment 20. Online Screener English.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-23AX	Online Screener Spanish	Attachment 21. Online Screener Spanish.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems #09-20-0136 , Department of Health and Human Services/CDC/National Center for Infectious Diseases. A privacy impact assessment	FR Citation: 57 FR 62811

Number of Respondents: 81	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	81	81
Annual IC Time Burden (Hours)	121	121
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 35. Screenshots of Screener – English_202310	Attachment 35. Screenshots of Screener – English_202310.docx	11/09/2023
Attachment 36. Screenshots of Screener – Spanish_202310	Attachment 36. Screenshots of Screener – Spanish_202310.docx	11/09/2023

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