Qualitative Research on The Undercount of Young Children

Generic Clearance for Internet Panel Pretesting and Qualitative Survey Methods Testing

Documents and Forms

Document Name Document Type
Form 1 Qualitative Research on The Undercount of Young Children Form and Instruction
1 Interview Protocol Appendix C UYC SC CBO interview protocol 240401.docx Form and Instruction
2 focus group protocol Appendix G UYC SC HH focus group protocol 240401.docx Form and Instruction
2030 UYC SC Qual OMB Memo 240429_clean.docx OMB Memo IC Document
Appendix A UYC SC Screening Questionnaire 240430_clean.docx Screener Questionnaire IC Document
Appendix B Screening Quota Table 240412.docx Screener Quota Table IC Document
Appendix D Interview Consent Form 240412.docx Interview Consent Form IC Document
Appendix E Advertisements 240412.docx Advertisements IC Document
Appendix F Focus Group Consent Form 240412.docx Focus Group Consent Form IC Document

Information Collection (IC) Details

IC Title:	Qualitative Research on The Undercount of Young Children	Agency IC Tracking Number:

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	1	Interview Protocol	Appendix C UYC SC CBO interview protocol 240401.docx		No		Fillable Fileable
Form and Instruction	2	focus group protocol	Appendix G UYC SC HH focus group protocol 240401.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	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	160	160
Annual IC Time Burden (Hours)	453	453
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2030 UYC SC Qual OMB Memo 240429_clean.docx	05/01/2024
Screener Questionnaire	Appendix A UYC SC Screening Questionnaire 240430_clean.docx	05/01/2024
Screener Quota Table	Appendix B Screening Quota Table 240412.docx	05/01/2024
Interview Consent Form	Appendix D Interview Consent Form 240412.docx	05/01/2024
Advertisements	Appendix E Advertisements 240412.docx	05/01/2024
Focus Group Consent Form	Appendix F Focus Group Consent Form 240412.docx	05/01/2024

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