Focus Groups and Individual Interviews with Women

Micro-Finance Project for HIV Prevention

Documents and Forms

Document Name Document Type
Focus Groups and Individual Interviews with Women Form and Instruction
Demographics Form for Women Appendix J - Demographic data collection form_women.doc Form and Instruction
Individual Interview Guide for Women Appendix H-Ind interview data collection instrument_Women.doc Form and Instruction
Focus Group Guide for Women Appendix G - Focus group data collection instrument_Women.doc Form and Instruction
Appendices D, N- Focus groups consent forms_Women.doc Focus Group Consent Forms for Women IC Document
Appendices E, O -Individual interview consent forms_Women.doc Individual Interview Consent Forms for Women IC Document

Information Collection (IC) Details

IC Title:	Focus Groups and Individual Interviews with Women	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Demographics Form for Women	Appendix J - Demographic data collection form_women.doc	No	No	Paper Only
Form and Instruction	None	Individual Interview Guide for Women	Appendix H-Ind interview data collection instrument_Women.doc	No	No	Paper Only
Form and Instruction	None	Focus Group Guide for Women	Appendix G - Focus group data collection instrument_Women.doc	No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	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	32	32
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Consent Forms for Women	Appendices D, N- Focus groups consent forms_Women.doc	06/08/2007
Individual Interview Consent Forms for Women	Appendices E, O -Individual interview consent forms_Women.doc	06/08/2007

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