Information Collection

Pre-Launch Consumer Online Survey

IC 209300 under ICR 201702-2070-002 · OMB 2070-0189.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2487-02_AttachB.docx	Other-Screening Questionnaire for Ge
2487-02_AttachC.docx	Other-Screening Questionnaire for “L
2487-02_AttachD.docx	Other-Moderator’s Guide for Consumer
2487-02_AttachE.docx	Other-Survey to Test Awareness and P

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Screening Questionnaire for General Adult Consumer Focus Group	2487-02_AttachB.docx	No	Paper Only
Other-Screening Questionnaire for âLeaning Greenâ Consumer Focus Group	2487-02_AttachC.docx	No	Paper Only
Other-Moderatorâs Guide for Consumer Focus Group	2487-02_AttachD.docx	No	Paper Only
Other-Survey to Test Awareness and Perceptions of EPAâs Safer Choice Label: General Adult Population Survey	2487-02_AttachE.docx	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	4,000	2,000
Annual IC Time Burden (Hours)	2,000	1,333	667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.