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Cognitive Interview, Pretest, and Survey (Study 2)
Experimental Studies of Nutrition Symbols on Food Packages
OMB: 0910-0655
IC ID: 191570
OMB.report
HHS/FDA
OMB 0910-0655
ICR 201005-0910-012
IC 191570
( )
Documents and Forms
Document Name
Document Type
symbol experiment study 1 and 2 cognitive interview screener (appendix M) 120909.doc
Other-cognitive interview screener
nutrition symbol study 2 screenshots 021210.ppt
Other-experiment 2 screenshots
symbol experiment study 2 pretest and survey invitation (Appendix F).doc
symbol experiment study 2 pretest and survey invitation (Appendix F)
IC Document
symbol experiment study 2 reminder email (Appendix L).doc
symbol experiment study 2 reminder email (Appendix L)
IC Document
symbol STUDY 2 appendices 021210 clean.doc
symbol STUDY 2 appendices 021210 clean
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive Interview, Pretest, and Survey (Study 2)
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-cognitive interview screener
symbol experiment study 1 and 2 cognitive interview screener (appendix M) 120909.doc
Yes
Yes
Fillable Fileable
Other-experiment 2 screenshots
nutrition symbol study 2 screenshots 021210.ppt
Yes
Yes
Fillable Fileable
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:
27,344
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
27,344
0
0
0
0
27,344
Annual IC Time Burden (Hours)
2,186
0
0
0
0
2,186
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
symbol experiment study 2 pretest and survey invitation (Appendix F)
symbol experiment study 2 pretest and survey invitation (Appendix F).doc
12/09/2009
symbol experiment study 2 reminder email (Appendix L)
symbol experiment study 2 reminder email (Appendix L).doc
12/09/2009
symbol STUDY 2 appendices 021210 clean
symbol STUDY 2 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.