Information Collection

Radiation Concepts/Comparison Message Testing

IC 227003 under ICR 201502-0920-001 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Radiation Concepts/Comparison Message Testing	Form and Instruction
Attachment D Focus Group mod guide.docx	Other-Moderator's Guide
Attachment E Interview Guide.docx	Other-Interview Guide
Interview Screener Attachment A Interview Screener .docx	Form and Instruction
Focus Group Screener Attachment B Focus Group Screener.docx	Form and Instruction
Attachment C RSB Radiation Comparison Messages.docx Messages for Testing	IC Document
Attachment F Info Sheet5-24-17.docx Information Sheet	IC Document
Attachment G Protocol.docx Protocol	IC Document
HMTSExpeditedReviewForm_Comparison Messages.pdf Request for Approval	IC Document
Project Summary.docx Project Summary	IC Document

IC Title:

Radiation Concepts/Comparison Message Testing

Agency IC Tracking Number:

0920-17AMN

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Interview Screener	Attachment A Interview Screener .docx	Yes	No	Paper Only
Form and Instruction	none	Focus Group Screener	Attachment B Focus Group Screener.docx	Yes	No	Paper Only
Other-Moderator's Guide			Attachment D Focus Group mod guide.docx	No		Paper Only
Other-Interview Guide			Attachment E Interview Guide.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

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	240	240
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Messages for Testing	Attachment C RSB Radiation Comparison Messages.docx	05/25/2017
Information Sheet	Attachment F Info Sheet5-24-17.docx	05/25/2017
Protocol	Attachment G Protocol.docx	05/25/2017
Request for Approval	HMTSExpeditedReviewForm_Comparison Messages.pdf	05/25/2017
Project Summary	Project Summary.docx	05/25/2017

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