Information Collection

Study 1: "Healthy" Symbols Survey

IC 252819 under ICR 202204-0910-011 · OMB 0910-0905.

Documents and Forms

Document Name Document Type
Appendix A - Cognitive Interview Screener and Guide Survey and Experiment.pdf Other-Screener guide
Appendix A - Cognitive Interview Screener and Guide Survey and Experiment.pdf Other-Screener guide
Appendix B - Survey and Experiment Invite Example.pdf Other-Invitation to participate
Appendix B - Survey and Experiment Invite Example.pdf Other-Invitation to participate
Appendix F- Hager Sharp Healthy Symbol Survey.pdf Other-Survey
Appendix F- Hager Sharp Healthy Symbol Survey.pdf Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Study 1: "Healthy" Symbols Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener guide	Appendix A - Cognitive Interview Screener and Guide Survey and Experiment.pdf	Yes	Yes	Fillable Fileable
Other-Invitation to participate	Appendix B - Survey and Experiment Invite Example.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Appendix F- Hager Sharp Healthy Symbol Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	361	361
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.