Information Collection

An Investigation of Allergy to Cosmetics in the United States

IC 230049 under ICR 201707-0910-018 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - Screener Questionnaire.docx	Other-Screener
Appendix B - Consent Form.doc	Other-Consent Form
Appendix C - Moderator Guide - Parents.docx	Other-Moderator Guide - Parents
Appendix C - Moderator Guide - People with Allergies.docx	Other-Moderator Guide - Allergies
Appendix C - Moderator Guide - People Without Allergies.docx	Other-Moderator Guide - No Allergies
0497 OMB Approval Memo - Allergy to Cosmetics.docx OMB approval memo	IC Document

IC Title:

An Investigation of Allergy to Cosmetics in the United States

Agency IC Tracking Number:

CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Screener	Appendix A - Screener Questionnaire.docx	No	Paper Only
Other-Consent Form	Appendix B - Consent Form.doc	No	Paper Only
Other-Moderator Guide - Parents	Appendix C - Moderator Guide - Parents.docx	No	Paper Only
Other-Moderator Guide - Allergies	Appendix C - Moderator Guide - People with Allergies.docx	No	Paper Only
Other-Moderator Guide - No Allergies	Appendix C - Moderator Guide - People Without Allergies.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 640

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	640	640
Annual IC Time Burden (Hours)	245	245
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0497 OMB Approval Memo - Allergy to Cosmetics.docx	02/12/2018

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