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Sleep Warnings- CPSC Message Frame Testing Focus Group
Focus Groups
OMB: 3041-0136
IC ID: 243738
OMB.report
CPSC
OMB 3041-0136
ICR 202206-3041-001
IC 243738
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0136 can be found here:
2024-03-07 - Revision of a currently approved collection
2023-05-10 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sleep Warnings- CPSC Message Frame Testing Focus Group
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1
0
0
0
0
1
Annual IC Time Burden (Hours)
0
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.