Focus Groups (Individuals or households)

Elder Justice Victim Needs Assessment

Documents and Forms

Document Name Document Type
Focus Groups with Individuals Aged 60 and Over Who Have Experienced Abuse.docx Other-Screener/survey
Focus Groups with Individuals Aged 60 and Over Who Have Experienced Abuse.docx Other-Screener/survey

Information Collection (IC) Details

IC Title:	Focus Groups (Individuals or households)	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-Screener/survey			Focus Groups with Individuals Aged 60 and Over Who Have Experienced Abuse.docx		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	3,320	3,320

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.