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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Focus Group Research to Inform the Development of Mesages to change Social Norms
Agency IC Tracking Number:
0920-17AAM
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
Att C- Instrumetn Discussion Guide.docx
No
Fillable Printable
Form and Instruction
Att. F1
Att. F1 Dads book
Att. F1 Dads book.pdf
No
Fillable Printable
Form and Instruction
Att. F2
Att. F2 Moms book
Att. F2 Moms book.pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
96
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
96
0
96
0
0
0
Annual IC Time Burden (Hours)
144
0
144
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att D-recruit letter parents
Att D-recruit letter parents.doc
06/01/2017
Att E-Consent to Participate in Focus Group Session
Att E-Consent to Participate in Focus Group Session.docx
06/01/2017
Att. A. Project Description 3_16_17
Att. A. Project Description 3_16_17.docx
06/01/2017
Att. B. Burden Table
Att. B. Burden Table.docx
06/01/2017
Att. G. PIA GenIC Corporal punishment
Att. G. PIA GenIC Corporal punishment.pdf
06/01/2017
HMTSExpeditedReviewFormpdf
HMTSExpeditedReviewFormpdf.pdf
06/01/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.