Information Collection

Survey on Usage and Functionality of Smoke Alarms and Carbon Monoxide Alarms (SCOA) in US Households In-Home Administration

IC 232007 under ICR 201902-3041-001 · OMB 3041-0180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Volume 1 - Main Survey Instrument for In-Home Administration 10 15 18.pdf	Instruction
Volume 1 - Communication Materials and Main Survey Instrument for In-Home Administration 10 15 18.docx Communications Materials In-Home Interviews	IC Document

IC Title:

Survey on Usage and Functionality of Smoke Alarms and Carbon Monoxide Alarms (SCOA) in US Households In-Home Administration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Instruction			Volume 1 - Main Survey Instrument for In-Home Administration 10 15 18.pdf		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,085

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	Previously Approved
Annual Number of Responses for this IC	1,085	1,085
Annual IC Time Burden (Hours)	1,085	1,085
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Communications Materials In-Home Interviews	Volume 1 - Communication Materials and Main Survey Instrument for In-Home Administration 10 15 18.docx	10/16/2018

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