Information Collection

Rapid Message Testing with Consumer Panel - BeSafeRx Campaign Messages

IC 236111 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Screener.docx Other-Participant Screener
Interview Guide.docx Other-Interview Guide
Message Testing BeSafeRx Web Content.pdf Other-Message Testing
0695 OMB Approval Memo - BeSafeRx Campaign Messages 2019.docx
OMB approval memo
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-Interview Guide Interview Guide.docx Yes No Paper Only
Other-Participant Screener Screener.docx Yes No Fillable Fileable
Other-Message Testing Message Testing BeSafeRx Web Content.pdf Yes No Paper Only

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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 14 0 14 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 memo 0695 OMB Approval Memo - BeSafeRx Campaign Messages 2019.docx 05/16/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.