Study Participants (opt in)

Evaluation of the Food and Drug Administration’s Point-of-Sale Campaign

Documents and Forms

Document Name Document Type
Attachment_03b_POSITEv_consent_for_app-based_data_collection_W2. Cleandocx.docx Other-App-based Data Collection Cons

Information Collection (IC) Details

IC Title:	Study Participants (opt in)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-App-based Data Collection Consent Script			Attachment_03b_POSITEv_consent_for_app-based_data_collection_W2. Cleandocx.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 769	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	2,307	2,307
Annual IC Time Burden (Hours)	185	185
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.