Information Collection

Sub-study #6_Validating scale to assess cancer-related risk perceptions

IC 208373 under ICR 201111-0925-003 · OMB 0925-0645.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0645 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Sub-study #6_Validating scale to assess cancer-related risk perceptions	Form and Instruction
1 Survey 1 #6 Attachment 6B Survey 1.pdf	Form and Instruction
2 Survey 2 #6 Attachment 6C Survey 2.pdf	Form and Instruction
3 Survey 3 #6 Attachment 6D Survey 3.pdf	Form and Instruction
#6_Attachment 6E OHSRP Exempt.pdf #6_Attachment 6E OHSRP Exempt	IC Document
#6 Attachment 6A Readings.doc #6 Attachment 6A Readings	IC Document
0925-0645 Attachment #6_Justif Memo_Risk_Perception_Construct.doc #6 Justification Memo	IC Document
#6_Gen IC Form_RiskPerception.doc #6_Gen IC Form_RiskPerception	IC Document

IC Title:

Sub-study #6_Validating scale to assess cancer-related risk perceptions

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Survey 1	#6 Attachment 6B Survey 1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Survey 2	#6 Attachment 6C Survey 2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Survey 3	#6 Attachment 6D Survey 3.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: 1,500

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	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	1,500	0	0	0	0	0
Annual IC Time Burden (Hours)	625	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
#6_Attachment 6E OHSRP Exempt	#6_Attachment 6E OHSRP Exempt.pdf	08/15/2013
#6 Attachment 6A Readings	#6 Attachment 6A Readings.doc	08/15/2013
#6 Justification Memo	0925-0645 Attachment #6_Justif Memo_Risk_Perception_Construct.doc	08/16/2013
#6_Gen IC Form_RiskPerception	#6_Gen IC Form_RiskPerception.doc	08/19/2013

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