Information Collection

Cognitive Interview

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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Cognitive Interview Instrument					Yes	No	Paper Only
Other-Test Stimuli					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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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