Information Collection

Screener completes

IC 222604 under ICR 201702-0910-007 · OMB 0910-0824.

Documents and Forms

Document Name Document Type
Market Claims in DTC Rx Print Ads Appendix A.pdf Other-Survey Recruit and Consent
Market Claims in DTC Rx Print Ads Appendix B.pdf Other-Survey Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Screener completes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Recruit and Consent			Market Claims in DTC Rx Print Ads Appendix A.pdf		Yes	Yes	Fillable Fileable
Other-Survey Questionnaire			Market Claims in DTC Rx Print Ads Appendix B.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,638	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,638	1,638
Annual IC Time Burden (Hours)	49	49
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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