Information Collection

Message Platform Testing for Development of Future Advertising

IC 212459 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Message Platform Testing for Development of Future Advertising	Form
Att 1c_IDI Moderator's Guide v12 FINAL.docx	Other-Interview Guide
Screenshots of Survey Screener and Survey Main Questionn Att 1a_ScreenerQuestionnaire v14 FINAL.docx	Form
Part A_Dual Use Platform Testing v19 07232014.docx Supporting Statement Part A	IC Document
Part B_Dual Use Platform Testing v10 07232014.docx Supporting Statement Part B	IC Document
Att 1a_ScreenerQuestionnaire v14 FINAL.docx Survey Screener - Word Format	IC Document
Att 1b_MainQuestionnaire v14 FINAL.DOCX Survey Main Questionnaire - Word Format	IC Document
Att 2_Email Recruitment v9 07162014.docx Email Invitation	IC Document
Att 3_Privacy Policy v8 FINAL.docx Toluna Panelist Privacy Policies	IC Document
Att 4_Terms and Conditions v8 FINAL.docx Toluna Panelist Terms and Conditions	IC Document

IC Title:

Message Platform Testing for Development of Future Advertising

Agency IC Tracking Number:

14AGR

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
Form	none	Screenshots of Survey Screener and Survey Main Questionnaire	Att 1a_ScreenerQuestionnaire v14 FINAL.docx		Yes	Yes	Fillable Fileable
Other-Interview Guide			Att 1c_IDI Moderator's Guide v12 FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,590

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	4,590	4,590
Annual IC Time Burden (Hours)	1,519	1,519
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A	Part A_Dual Use Platform Testing v19 07232014.docx	07/24/2014
Supporting Statement Part B	Part B_Dual Use Platform Testing v10 07232014.docx	07/24/2014
Survey Screener - Word Format	Att 1a_ScreenerQuestionnaire v14 FINAL.docx	07/24/2014
Survey Main Questionnaire - Word Format	Att 1b_MainQuestionnaire v14 FINAL.DOCX	07/24/2014
Email Invitation	Att 2_Email Recruitment v9 07162014.docx	07/24/2014
Toluna Panelist Privacy Policies	Att 3_Privacy Policy v8 FINAL.docx	07/24/2014
Toluna Panelist Terms and Conditions	Att 4_Terms and Conditions v8 FINAL.docx	07/24/2014

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