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Focus Groups Involving Children Moderator's Guide
Formative Evaluation of Adults' and Children's Views Related to Promotion of Healthy Food Choices
OMB: 0920-0795
IC ID: 184640
OMB.report
HHS/CDC
OMB 0920-0795
ICR 200804-0920-005
IC 184640
( )
Documents and Forms
Document Name
Document Type
Appendix F Mod Guide for Children.doc
Other-Children's/Youth Focus Groups
Appendix E2 Parental Permission.doc
Parental Permission Form
IC Document
Appendix E3 Youth Assent.doc
Youth Assent Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups Involving Children Moderator's Guide
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-Children's/Youth Focus Groups Discussion Outline
Appendix F Mod Guide for Children.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
384
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
384
0
384
0
0
0
Annual IC Time Burden (Hours)
768
0
768
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Parental Permission Form
Appendix E2 Parental Permission.doc
03/31/2008
Youth Assent Form
Appendix E3 Youth Assent.doc
03/31/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.