Cognitive Tester

Durable Nursery Products Exposure Survey

Documents and Forms

Document Name Document Type
Form Cognitive Testing Cognitive Tester Form and Instruction
Cognitive Testing Cognitive Testing Script CognitiveTesting - Revised 060512.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Cognitive Tester	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 16 CFR 1101-1406 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Cognitive Testing Script	Cognitive Testing Script	CognitiveTesting - Revised 060512.pdf		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 27

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	27	27
Annual IC Time Burden (Hours)	27	27
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.