Information Collection

Focus Groups

IC 271245 under ICR 202409-0920-011 · OMB 0920-1355.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1355 Focus Groups	Form and Instruction
Form 0920-1355 Focus Groups Focus Groups	Form and Instruction
0920-1355 Focus Groups Att. 9 Focus Group Session Script.docx	Form and Instruction
0920-1355 Focus Groups Att. 9 Focus Group Session Script.docx	Form and Instruction

IC Title:

Focus Groups

Agency IC Tracking Number:

0920-1355

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1355				No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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