OMB
.report
Search
Consumer Focus Groups
Consumer Focus Groups
OMB: 0583-0141
IC ID: 189618
OMB.report
USDA/FSIS
OMB 0583-0141
ICR 200906-0583-001
IC 189618
( )
Documents and Forms
Document Name
Document Type
Consumer Focus Groups
Form
Final moderator guide 9-16-09 (2).doc
Instruction
Focus Group Participant Worksheet.doc
Other-worksheet
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents.doc
Form
General Population
Focus Groups Screeening Questionnaire-General.doc
Form
Immunocompromised
Focus Groups Screening Questionnaire-Immuno.doc
Form
Older Adults (60 +)
Focus Groups Screening Questionnaire-Older.doc
Form
Young Adults ( 18-24 years old)
Focus Groups Screening Questionnaire-YoungAd.doc
Form
Underserved Population
Focus Groups Screening Questionnaire-Underserved.doc
Form
Consent Form
Consent_Form_0208893 031.doc
Form
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents_REV.doc
Form
Geberal Population
Focus Groups Screening Questionnaire_general_REV.docx
Form
Immunocompromised
Focus Groups Screening Questionnaire-Immuno_REV.doc
Form
Older Adults (60+)
Focus Groups Screening Questionnaire-Older_REV.doc
Form
Young Adults
Focus Groups Screening Questionnaire-YoungAd_REV.doc
Form
Underserved Population
Focus Groups Screening Questionnaire-Underserved_REV.doc
Form
Consent Form
Consent_Form_0208893 031_REV.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Consumer Focus Groups
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
Form
None
Immunocompromised
Focus Groups Screening Questionnaire-Immuno_REV.doc
No
Paper Only
Form
None
Older Adults (60+)
Focus Groups Screening Questionnaire-Older_REV.doc
No
Paper Only
Form
None
Underserved Population
Focus Groups Screening Questionnaire-Underserved_REV.doc
No
Paper Only
Form
None
Geberal Population
Focus Groups Screening Questionnaire_general_REV.docx
No
Paper Only
Form
None
Young Adults
Focus Groups Screening Questionnaire-YoungAd_REV.doc
No
Paper Only
Instruction
Final moderator guide 9-16-09 (2).doc
No
Paper Only
Form
None
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents.doc
No
Paper Only
Form
None
General Population
Focus Groups Screeening Questionnaire-General.doc
No
Paper Only
Form
None
Immunocompromised
Focus Groups Screening Questionnaire-Immuno.doc
No
Paper Only
Form
None
Older Adults (60 +)
Focus Groups Screening Questionnaire-Older.doc
No
Paper Only
Form
None
Young Adults ( 18-24 years old)
Focus Groups Screening Questionnaire-YoungAd.doc
No
Paper Only
Form
None
Underserved Population
Focus Groups Screening Questionnaire-Underserved.doc
No
Paper Only
Form
None
Consent Form
Consent_Form_0208893 031.doc
No
Paper Only
Other-worksheet
Focus Group Participant Worksheet.doc
No
Paper Only
Form
None
Parents of Young Children < 5 yrs. old
Focus Group Screening Questionnaire-Parents_REV.doc
No
Paper Only
Form
None
Consent Form
Consent_Form_0208893 031_REV.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
132
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
220
0
220
0
0
0
Annual IC Time Burden (Hours)
198
0
198
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.