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Healthy Icon - Phase II
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 237685
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201911-0910-015
IC 237685
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:
2023-10-31 - Extension without change of a currently approved collection
2020-10-02 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Healthy Icon - Phase II
Agency IC Tracking Number:
CFSAN
IC Status:
Unchanged
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-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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
300
0
0
0
0
300
Annual IC Time Burden (Hours)
185
0
0
0
0
185
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.