Information Collection Request

Hearing, Aging, and Direct-to-Consumer Television Advertisements

ICR 201601-0910-003 · OMB 0910-0818 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Q&A Hearing Aids 6-21-16.docx Supplementary Document Uploaded 2016-06-21 Available
SUPPORTING STATEMENT PART B FINAL HEARING, AGING 1-11-2016.docx Supporting Statement B Uploaded 2016-01-11 Available
SUPPORTING STATEMENT PART A FINAL HEARING, AGING 1-11-2016.docx Supporting Statement A Uploaded 2016-01-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219546 Main Study Other-Appendix A - Screener and Informed Consent New
219545 Main Study Screener Other-Appendix A - Screener and Informed Consent New
219544 Pretest Other-Appendix A - Screener and Informed Consent New
219543 Pretest Screener Other-Appendix A - Screener and Informed Consent New
219542 Cognitive Interviews Other-Appendix C - Telephone Screener/Informed Consent/Testing G New
219541 Cognitive Interview Screener Other-Appendix C - Telephone Screener New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved
5,193 0 0
1,560 0 0
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Cognitive Interviews
Pretest Screener
Cognitive Interview Screener
Pretest
Main Study Screener
Main Study

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,193 0 0 5,193 0 0
Annual Time Burden (Hours) 1,560 0 0 1,560 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No