Focus Groups State Local and Tribal Government

Vulnerability to Water Insecurity, Hazards Planning and Response

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0144 can be found here:

Documents and Forms

Document Name Document Type
Focus Groups State Local and Tribal Government Form and Instruction
Vulnerability Indicators: Measuring Effects of Social Fa 1028-NEW Vulnerability to Water Insecurity Focus Group Instrument.docx Form and Instruction
Vulnerability Indicators: Measuring Effects of Social Fa 1028-NEW Vulnerability to Water Insecurity Focus Group Instrument.docx Form and Instruction
Focus Group Instrument_submitted.docx Focus Group Instrument IC Document
Focus Group Instrument_submitted.docx Focus Group Instrument IC Document

Information Collection (IC) Details

IC Title:	Focus Groups State Local and Tribal Government	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 and Instruction	N/A	Vulnerability Indicators: Measuring Effects of Social Factors on Water Security Conditions	1028-NEW Vulnerability to Water Insecurity Focus Group Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Instrument	Focus Group Instrument_submitted.docx	01/25/2024

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