Health Benefits Focus Group

Focus Groups As Used By EPA For Economics Projects (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2090-0028 can be found here:

Documents and Forms

Document Name Document Type
2205.18 Health Benefits Focus Group Script.docx Other-Other
health benefit IC_script_09272016_clean.docx Other-focus group script
2205ss18 Health Benefits Generic.docx 2205ss18 Health Benefits Generic IC Document
health benefit IC_supporting statement_09282016_clean.docx Supporting statement IC Document

Information Collection (IC) Details

IC Title:	Health Benefits Focus Group	Agency IC Tracking Number:

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-focus group script			health benefit IC_script_09272016_clean.docx		No		Paper Only
Other-Other			2205.18 Health Benefits Focus Group Script.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2205ss18 Health Benefits Generic	2205ss18 Health Benefits Generic.docx	05/13/2016
Supporting statement	health benefit IC_supporting statement_09282016_clean.docx	09/28/2016

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