Information Collection

Brand Awareness Survey/Delivery email list

IC 215153 under ICR 201407-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379 HHS Brand Awareness Survey For OMB Submission 022014 RLM.docx	Other-survey
0990-0379 GenericIC - HHS Brand Awareness Survey 022015 RLM.docx HHS Brand Awareness Survey	IC Document

IC Title:

Brand Awareness Survey/Delivery email list

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			0990-0379 HHS Brand Awareness Survey For OMB Submission 022014 RLM.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 188,000

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	188,000	188,000
Annual IC Time Burden (Hours)	31,333	31,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HHS Brand Awareness Survey	0990-0379 GenericIC - HHS Brand Awareness Survey 022015 RLM.docx	02/20/2015

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