Information Collection

Sleep Warnings- CPSC Message Frame Testing Focus Group

IC 243738 under ICR 202009-3041-001 · OMB 3041-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Supplemental Document_Attachment 4_Discussion Guide.update.pdf	Instruction
Supplemental Document_Attachment 4_Discussion Guide.update.pdf	Instruction
CPSC Sleep Warning Rating Worksheet Supplemental Document_Attachment 5_Rating Worksheet.pdf	Form
CPSC Sleep Warning Rating Worksheet Supplemental Document_Attachment 5_Rating Worksheet.pdf	Form
CPSC Sleep Warning Ranking Worksheet Supplemental Document_Attachment 6_Rankng Worksheet.pdf	Form
CPSC Sleep Warning Ranking Worksheet Supplemental Document_Attachment 6_Rankng Worksheet.pdf	Form
CPSC Sleep Warning Imagery Worksheet Supplemental Document_Attachment 7_Imagery Worksheet.pdf	Form
CPSC Sleep Warning Imagery Worksheet Supplemental Document_Attachment 7_Imagery Worksheet.pdf	Form
Screener Screener Questionaire Supplemental Document_Attachment 2_Screener.update.pdf	Form and Instruction
Screener Screener Questionaire Supplemental Document_Attachment 2_Screener.update.pdf	Form and Instruction
Supplemental Document_Attachment 1_OMB Information Collection Form.update.pdf Information Collection Cover Sheet	IC Document
Supplemental Document_Attachment 1_OMB Information Collection Form.update.pdf Information Collection Cover Sheet	IC Document
Supplemental Document_Attachment 3_Consent Form.pdf Consent Form	IC Document
Supplemental Document_Attachment 3_Consent Form.pdf Consent Form	IC Document

IC Title:

Sleep Warnings- CPSC Message Frame Testing Focus Group

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Supplemental Document_Attachment 4_Discussion Guide.update.pdf	Yes	No	Printable Only
Form	CPSC Sleep Warnings Rating Worksheet	Rating Worksheet	Supplemental Document_Attachment 5_Rating Worksheet.pdf	Yes	No	Printable Only
Form	CPSC Sleep Warnings Ranking Worksheet	Ranking Worksheet	Supplemental Document_Attachment 6_Rankng Worksheet.pdf	Yes	No	Printable Only
Form	CPSC Sleep Warnings Imagery Worksheet	Imagery Worksheet	Supplemental Document_Attachment 7_Imagery Worksheet.pdf	Yes	No	Printable Only
Form and Instruction	Screener	Screener Questionaire	Supplemental Document_Attachment 2_Screener.update.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Information Collection Cover Sheet	Supplemental Document_Attachment 1_OMB Information Collection Form.update.pdf	09/24/2020
Consent Form	Supplemental Document_Attachment 3_Consent Form.pdf	09/24/2020

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