Information Collection

Focus Group

IC 210539 under ICR 201402-2528-002 · OMB 2528-0300.

Documents and Forms

Document Name Document Type
HDS-LGT_Disc Guide.docx Other-Discussion Guide
Participant Information form HDS-LGT_Partic Info Form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus Group	Agency IC Tracking Number:

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
Other-Discussion Guide			HDS-LGT_Disc Guide.docx		No		Paper Only
Form	N/A	Participant Information form	HDS-LGT_Partic Info Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	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	75	75
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.