View Information Collection (IC)

View Information Collection (IC)

IC Title:	Pool Safely 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
Instruction			Pool Safely Focus Group Materials.pdf		Yes	Yes	Fillable Printable
Instruction			Pool Safely Focus Group Guide.pdf		No		Fillable Fileable
Form and Instruction	NA	Screener	PoolSafely Screener.docx		Yes	Yes	Fillable Fileable

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: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	48	0	48	0	0	0
Annual IC Time Burden (Hours)	120	0	120	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Pool Safely FG Supporting Statement	Pool Safely Focus Group Supporting Statement.pdf	02/23/2021

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