Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DGA 2020-2025 Survey and Focus Group (English and Spanish) New 29456 5968 0 Other-Attachment A-1 Screener (English) (Pregnant Women 8-11-2020)
Other-Attachment A-2 Discussion Guide (English) (Pregnant Women 8-11-2020)
Other-Attachment A-3 Confirmation Form for Focus Group Participants (English 8-11-2020)
Other-Attachment A-4 Consent Form (English).docx
Other-Attachment A-7 Focus Group Public Burden Statement (English).docx
Other-Attachment A-7a Survey Public Burden Statement (English).docx
Other-Attachment A-8 Survey Questionnaire (English 8-10-2020).docx
Other-Attachment A-9 Survey Invitation (English 8-11-2020)
Other-Attachment A-10 Survey Screen Shots (English)
Other-Attachment C-1 Screener (English) (B-24 Caregiver Audience 8-11-2020)
Other-Attachment C-2 Discussion Guide (English) (B-24 Caregiver Audience 8-11-2020)
Other-Attachment E-1 Focus Group Screener (English) (Remaining Consumer Audiences 8-11-2020)
Other- Attachment E-2 Discussion Guide (English) (Remaining Consumer Audiences 8-11-2020)
Other-Attachment B-1 Screener (Spanish) (Pregnant Women)
Other-Attachment B-2 Discussion Guide (Spanish) (Pregnant Women)
Other-Attachment B-3 Confirmation Form for Focus Group Participants (Spanish)
Other-Attachment B-4 Consent Form (Spanish)
Other-Attachment B-7 Focus Group Public Burden Statement (Spanish)
Other-Attachment B-7a Survey Public Burden Statement (Spanish)
Other-Attachment B-8 Survey Questionnaire (Spanish)
Other-Attachment B-9 Survey Invitation (Spanish)
Other-Attachment B-10 Survey Screen Shots (Spanish)
Other-Attachment D-1 Screener (Spanish) (B-24 Caregiver Audience)
Other-Attachment D-2 Discussion Guide (Spanish) (B-24 Caregiver Audience)
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 29456 5968 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title