Screening for Consumer Focus Groups

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⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0189 can be found here:

Documents and Forms

Document Name Document Type
2487ss01-A_AttachB.docx Other-Screening Interview Questionna
2487ss01-A_AttachC.docx Other-Screening Interview Questionna

Information Collection (IC) Details

IC Title:	Screening for 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
Other-Screening Interview Questionnaire for "Leaning Green" Consumer Focus Group			2487ss01-A_AttachB.docx		No		Paper Only
Other-Screening Interview Questionnaire for General Adult Consumer			2487ss01-A_AttachC.docx		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	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	900	900
Annual IC Time Burden (Hours)	150	150
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.