OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements

IC 228664 under ICR 201701-0910-014 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A - Recruitment E-mails.doc Other-Recruitment email
Appendix B - Eligibility Screener.doc Other-Screener
Appendix C - Questionnaire.doc Other-Survey
Appendix D - Consent Form.doc Other-Consent form
OMB approval request memorandum.doc
OMB approval request memorandum		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Recruitment email Appendix A - Recruitment E-mails.doc Yes Yes Paper Only
Other-Screener Appendix B - Eligibility Screener.doc Yes Yes Fillable Fileable
Other-Survey Appendix C - Questionnaire.doc Yes Yes Fillable Fileable
Other-Consent form Appendix D - Consent Form.doc Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 270 0 270 0 0 0
Annual IC Time Burden (Hours) 112 0 112 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB approval request memorandum OMB approval request memorandum.doc 10/16/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.