Consumer Opinion Forum

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Survey 04 TV and Tipover	Form and Instruction	New	Available
Supporting_Statement_B_-_Opinion_Panel[1].doc	Supporting Statement B	Uploaded 2011-02-22	Available
OMB0135_FR2_2010.pdf	Supplementary Document	Uploaded 2010-02-24	Repair queued
OMB0135_FR1_2010.pdf	Supplementary Document	Uploaded 2010-02-24	Available
OMB0135_Justification_2010.doc	Supporting Statement A	Uploaded 2010-02-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194736	TV and Tipover	Form and Instruction	New

ICR Details

OMB Control No: 3041-0135	ICR Reference No: 201009-3041-004
Status: Historical Active	Previous ICR Reference No: 201002-3041-005
Agency/Subagency: CPSC	Agency Tracking No: 3
Title: Consumer Opinion Forum
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/18/2011
	Date Received in OIRA: 09/28/2010
Terms of Clearance: CPSC will submit each item for clearance individually and will provide a thorough explanation of the respondents, the methodology and the purpose of the item.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	09/30/2013
Responses	24,900	0	8,300
Time Burden (Hours)	2,775	0	925
Cost Burden (Dollars)	81,000	0	0

---

Abstract: The Consumer Opinion Forum is an internet-based survey or poll that would be available for voluntary participation by interested consumers 18 years of age and older through the CPSC website. The Consumer Opinion Forum would periodically post a set of questions, scenarios, or similar information to solicit opinions and perceptions from respondents related to specific product use.

---

Authorizing Statute(s): US Code: 15 USC 2054 Name of Law: Consumer Product Safety Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 218	11/13/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 34	02/22/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
TV and Tipover	Survey 04	TV and tipovers

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	24,900	8,300	0	16,600	0	0
Annual Time Burden (Hours)	2,775	925	0	1,850	0	0
Annual Cost Burden (Dollars)	81,000	0	0	81,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When submitting a request for extension, we submitted an "annual estimate" for the generic clearance, instead of a 3 year budget for a generic clearance. The approved numbers have been multiplied by 3 years to show the correct budget request needed for this generic clearance.

---

Annual Cost to Federal Government: $55,360

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/28/2010

---