Information Collection

Study 2: "Healthy" Symbols Experiment

IC 252826 under ICR 202204-0910-011 · OMB 0910-0905.

Documents and Forms

Documents and forms in this information collection
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 C - Healthy Symbol Experiment Design.pdf	Other-Experiment study design
Appendix C - Healthy Symbol Experiment Design.pdf	Other-Experiment study design
Appendix D - Healthy Symbol Experiment Questionnaire.pdf	Other-Experiment questionnaire
Appendix D - Healthy Symbol Experiment Questionnaire.pdf	Other-Experiment questionnaire
Appendix E - Product Images Experiment.pdf	Other-Experiment product images
Appendix E - Product Images Experiment.pdf	Other-Experiment product images

IC Title:

Agency IC Tracking Number:

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	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-Experiment study design	Appendix C - Healthy Symbol Experiment Design.pdf	Yes	Yes	Fillable Fileable
Other-Experiment questionnaire	Appendix D - Healthy Symbol Experiment Questionnaire.pdf	Yes	Yes	Fillable Fileable
Other-Experiment product images	Appendix E - Product Images Experiment.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: 5,000

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	5,000	5,000
Annual IC Time Burden (Hours)	1,310	1,310
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.