Information Collection

Digital Media Copy Testing for Click-to-Call Ads

IC 209931 under ICR 201312-0920-001 · OMB 0920-0910.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0910 can be found here:

Documents and Forms

Document Name Document Type
Att 1a. Survey Screener Digital_Ad_Copy_Test_121813 v5.0.doc Other-Survey Screener
Att 5. Click-to-Call Screenshots.pdf Other-Screenshots
Att 1b. Survey Main Digital_Ad_Copy_Test 12212013 v5.0.doc Other-Survey
Att 2. Email Recruit Digital Ad Copy Tests FINAL 12112013.docx Email Recruit IC Document
Att 3. Privacy Policy Digital Ad Copy Tests FINAL 12112013.docx Toluna Privacy Policy IC Document
Att 4. Terms and Conditions Digital Ad Copy Tests.docx Toluna Terms and Conditions IC Document
Part B_Digital_Ad_Copy_Test_12202013.docx Supporting Statement Part B IC Document
Part A_Digital_Ad_Copy_Test_12202013.docx Supporting Statement Part A IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Digital Media Copy Testing for Click-to-Call Ads	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Screener	Att 1a. Survey Screener Digital_Ad_Copy_Test_121813 v5.0.doc	Yes	Yes	Fillable Fileable
Other-Screenshots	Att 5. Click-to-Call Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Att 1b. Survey Main Digital_Ad_Copy_Test 12212013 v5.0.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	2,200	0	0	0	0	0
Annual IC Time Burden (Hours)	607	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Email Recruit	Att 2. Email Recruit Digital Ad Copy Tests FINAL 12112013.docx	01/03/2014
Toluna Privacy Policy	Att 3. Privacy Policy Digital Ad Copy Tests FINAL 12112013.docx	01/03/2014
Toluna Terms and Conditions	Att 4. Terms and Conditions Digital Ad Copy Tests.docx	01/03/2014
Supporting Statement Part B	Part B_Digital_Ad_Copy_Test_12202013.docx	01/03/2014
Supporting Statement Part A	Part A_Digital_Ad_Copy_Test_12202013.docx	01/03/2014

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