Information Collection

Healthy Icon (Symbol) Focus Groups – Phase III

IC 242649 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⚠️ Notice: This information collection may be referencing outdated material.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 Symbols.pdf	Other-Healthy Symbols
Appendix II - Screener.docx	Other-Screener
Appendix III - Moderator Guide.docx	Other-Moderator Guide
Appendix IV - Information Piece.docx	Other-Information Piece
Appendix V - Confirmation and Reminder Letters.docx	Other-Confirmation Letters
0497 OMB Approval Memo - Healthy Icon Phase III 2020.docx OMB approval memo	IC Document

IC Title:

Healthy Icon (Symbol) Focus Groups â Phase III

Agency IC Tracking Number:

CFSAN

IC Status: New

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 Symbols	Appendix I - Healthy Symbols.pdf	Yes	No	Printable Only
Other-Screener	Appendix II - Screener.docx	Yes	Yes	Fillable Fileable
Other-Moderator Guide	Appendix III - Moderator Guide.docx	Yes	No	Printable Only
Other-Information Piece	Appendix IV - Information Piece.docx	Yes	No	Printable Only
Other-Confirmation Letters	Appendix V - Confirmation and Reminder Letters.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: 72

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	98	98
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 III 2020.docx	07/09/2020

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