Information Collection

Cognitive Interview

IC 207258 under ICR 201306-0910-003 · OMB 0910-0764.

Documents and Forms

Document Name Document Type
Added Sugars Questionnaire for Cognitive Intereview and Survey.doc Other-Cognitive Interview Instrument
Added Sugars Test Stimuli.doc Other-Test Stimuli

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cognitive Interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 Instrument			Added Sugars Questionnaire for Cognitive Intereview and Survey.doc		Yes	No	Paper Only
Other-Test Stimuli			Added Sugars Test Stimuli.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 0

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	9	9
Annual IC Time Burden (Hours)	9	9
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.