Information Collection

Draft Online Panel Questionnaire

IC 191593 under ICR 201003-0910-001 · OMB 0910-0656.

Documents and Forms

Document Name Document Type
GF Online Panel Expeiment Questionnaire Rev 10-14-09.docm Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Draft Online Panel Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Questionnaire			GF Online Panel Expeiment Questionnaire Rev 10-14-09.docm		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,400	3,400
Annual IC Time Burden (Hours)	569	569
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.