Information Collection

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

IC 218520 under ICR 201711-0910-001 · OMB 0910-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C -- Pretest 1 Questionnaire 122215.doc	Other-Survey - Pretest 1
Appendix D -- Pretest 2 Questionnaire 122115.doc	Other-Survey - Pretest 2
Appendix E -- Pretests 3 and 4 Questionnaire 122215.doc	Other-Survey - Pretest 3 & 4
Appendix A -- Recruitment Email.doc Recruitment Email(s)	IC Document
Appendix B - screener questions.doc Screener	IC Document
Appendix F -- consent form 122215.doc Consent Form	IC Document
OMB Justification Memo 122215.doc OMB Justification Memo for Quantitative Info	IC Document

IC Title:

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

Agency IC Tracking Number:

CDER

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey - Pretest 1	Appendix C -- Pretest 1 Questionnaire 122215.doc	Yes	Yes	Fillable Fileable
Other-Survey - Pretest 2	Appendix D -- Pretest 2 Questionnaire 122115.doc	Yes	Yes	Fillable Fileable
Other-Survey - Pretest 3 & 4	Appendix E -- Pretests 3 and 4 Questionnaire 122215.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,010

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,010	1,010
Annual IC Time Burden (Hours)	419	419
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Email(s)	Appendix A -- Recruitment Email.doc	10/07/2015
Screener	Appendix B - screener questions.doc	10/07/2015
Consent Form	Appendix F -- consent form 122215.doc	01/06/2016
OMB Justification Memo for Quantitative Info	OMB Justification Memo 122215.doc	01/06/2016

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