View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Online Focus Groups with Low-Income Primary Caregivers on Childhood Obesity	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-Recruitment email			Recruitment Email.docx		Yes	No	Printable Only
Other-Screener			Appendix I - Screener.docx		Yes	Yes	Fillable Fileable
Other-Moderator Guide			Appendix II - Moderator Guide.docx		Yes	No	Printable Only
Other-Consent Form			Consent Form.docx		Yes	No	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: 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	600	0	600	0	0	0
Annual IC Time Burden (Hours)	295	0	295	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 - Childhood Obesity 2022.docx	02/07/2022

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