Information Collection

Healthy Icon - Phase II

IC 237685 under ICR 201911-0910-015 · 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⚠️ Notice: This information collection may be referencing outdated material.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 I - Healthy Icons for Testing Phase II.pdf	Other-Healthy Icons
Appendix II - Healthy Icon Screener Phase II.doc	Other-Participant Screener
Appendix III - Moderator Guide Phase II.docx	Other-Moderator Guide
Appendix IV - Confirmation and Reminder Letters Phase II.docx	Other-Confirmation and Reminder Lett
0497 OMB Approval Memo - Healthy Icon Phase II 2019.docx OMB Approval Memo	IC Document

IC Title:

Healthy Icon - Phase II

Agency IC Tracking Number:

CFSAN

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-Healthy Icons	Appendix I - Healthy Icons for Testing Phase II.pdf	Yes	No	Printable Only
Other-Participant Screener	Appendix II - Healthy Icon Screener Phase II.doc	Yes	No	Printable Only
Other-Moderator Guide	Appendix III - Moderator Guide Phase II.docx	Yes	No	Printable Only
Other-Confirmation and Reminder Letters	Appendix IV - Confirmation and Reminder Letters Phase II.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	185	185
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 - Healthy Icon Phase II 2019.docx	09/06/2019

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