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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Focus Groups with Nutrition Educators (CFSAN)
Agency IC Tracking Number:
CFSAN
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
Appendix I Participant Screener.docx
Yes
Yes
Fillable Fileable
Other-Moderators Guide
Appendix II Moderators Guide.docx
Yes
No
Printable Only
Other-Nutrition Facts Label
Appendix III Nutrition Facts Label Image.pdf
Yes
No
Printable Only
Other-Consent Form
Appendix IV - Consent Form.docx
Yes
No
Printable Only
Other-Confirmation Email
Appendix V - Confirmation Email Text.docx
Yes
Yes
Printable Only
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:
600
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
600
0
600
0
0
0
Annual IC Time Burden (Hours)
326
0
326
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0497 OMB Approval Memo Focus Groups with Nutrition Educators 2021.docx
06/08/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.