Information Collection

Cognitive Interview, Pretest, and Survey (Study 1)

IC 191569 under ICR 201005-0910-012 · OMB 0910-0655.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
symbol experiment study 1 cognitive interview screener (appendix M) 120909.doc	Other-cognitive interview screener
nutrition symbol study 1 experiment screenshots 021110 SurveyOutput4.ppt	Other-experiment screenshots
nutrition symbol study 1 eyetracking screenshots 021110 Sample ScriptFDA.pdf	Other-Eye tracking study
symbol experiment study 1 symbols.doc symbol experiment study 1 symbols	IC Document
symbol experiment Study 1 reminder appendix K.doc symbol experiment Study 1 reminder appendix K	IC Document
symbol experiment Study 1 eye tracking invitation Appendix E.doc symbol experiment Study 1 eye tracking invitation Appendix E	IC Document
symbol STUDY 1 appendices 021210 clean.doc symbol STUDY 1 appendices 021210 clean	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-cognitive interview screener	symbol experiment study 1 cognitive interview screener (appendix M) 120909.doc	Yes	Yes	Fillable Fileable
Other-experiment screenshots	nutrition symbol study 1 experiment screenshots 021110 SurveyOutput4.ppt	Yes	Yes	Fillable Fileable
Other-Eye tracking study	nutrition symbol study 1 eyetracking screenshots 021110 Sample ScriptFDA.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,784

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	14,784	14,784
Annual IC Time Burden (Hours)	1,427	1,427
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
symbol experiment study 1 symbols	symbol experiment study 1 symbols.doc	12/09/2009
symbol experiment Study 1 reminder appendix K	symbol experiment Study 1 reminder appendix K.doc	12/09/2009
symbol experiment Study 1 eye tracking invitation Appendix E	symbol experiment Study 1 eye tracking invitation Appendix E.doc	12/09/2009
symbol STUDY 1 appendices 021210 clean	symbol STUDY 1 appendices 021210 clean.doc	02/12/2010

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