Information Collection

Study 1

IC 239532 under ICR 202001-0910-013 · OMB 0910-0885.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0885 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - Study Pretests and Main Studies Consent Form.docx	Other-Pretests and Main Studies Cons
Appendix C - Study 1 Questionnaire.docx	Other-Survey Instrument

IC Title:

Study 1

Agency IC Tracking Number:

CDER

Is this a Common Form? No

IC Status: New

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
Other-Pretests and Main Studies Consent Form			Appendix A - Study Pretests and Main Studies Consent Form.docx		Yes	Yes	Fillable Fileable
Other-Survey Instrument			Appendix C - Study 1 Questionnaire.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: 700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	231	231
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.