Information Collection

Dietary Supplement Education Focus Groups (Formative Research)

IC 244489 under ICR 202008-0910-021 · 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⚠️ Notice: This information collection may be referencing outdated material.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 - Screener Older Adults-11122020.docx	Other-Screener Older Adults
Appendix II - Screener for Younger Adults-11122020.docx	Other-Screener for Younger Adults
Appendix III- Moderator Guide for Older Adults-11122020.docx	Other-Moderator Guide for Older Adul
Appendix IV - Moderator Guide for Young Adults-11122020.docx	Other-Moderator Guide for Young Adul
Appendix V - Older Adult Fact Sheet-11122020.docx	Other-Older Adult Fact Sheet
Appendix VI - Education Info for Young Adult Population-11122020.docx	Other-Education Info for Young Adult
Confirmation Email to Participants-11122020.docx	Other-Confirmation Email to Particip
Consent Form-11122020.docx	Other-Consent Form
0497 OMB Approval Memo Dietary Supplement 2020.docx Gen IC Memeo	IC Document

IC Title:

Dietary Supplement Education Focus Groups (Formative Research)

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-Screener Older Adults	Appendix I - Screener Older Adults-11122020.docx	Yes	Yes	Fillable Printable
Other-Screener for Younger Adults	Appendix II - Screener for Younger Adults-11122020.docx	Yes	Yes	Fillable Printable
Other-Moderator Guide for Older Adults	Appendix III- Moderator Guide for Older Adults-11122020.docx	Yes	Yes	Fillable Printable
Other-Moderator Guide for Young Adults	Appendix IV - Moderator Guide for Young Adults-11122020.docx	Yes	Yes	Fillable Printable
Other-Older Adult Fact Sheet	Appendix V - Older Adult Fact Sheet-11122020.docx	Yes	No	Fillable Printable
Other-Education Info for Young Adult Population	Appendix VI - Education Info for Young Adult Population-11122020.docx	Yes	Yes	Fillable Printable
Other-Confirmation Email to Participants	Confirmation Email to Participants-11122020.docx	Yes	Yes	Fillable Printable
Other-Consent Form	Consent Form-11122020.docx	No		Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 640

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	640	640
Annual IC Time Burden (Hours)	173	173
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Gen IC Memeo	0497 OMB Approval Memo Dietary Supplement 2020.docx	11/13/2020

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