Information Collection

Appendix F: Informed Consent and Focus Group Guide for program participants

IC 222587 under ICR 201607-0970-006 · OMB 0970-0489.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0489 can be found here:

Documents and Forms

Document Name Document Type
Appendix F - Informed Consent and Focus Group Guide for Prog Participants.docx Other-Consent and Discussion Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Appendix F: Informed Consent and Focus Group Guide for program participants	Agency IC Tracking Number:

Is this a Common Form? No		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-Consent and Discussion Guide			Appendix F - Informed Consent and Focus Group Guide for Prog Participants.docx		Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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