Information Collection

Survey of Risk Factors of Lithium-Ion Batteries used in ENDS

IC 257171 under ICR 202211-0910-008 · OMB 0910-0810.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A Sample Email Prompt 11-28-2022.docx	Other-Sample e-mail prompt
Appendix B-C-D Screener-Consent 11-28-2022.docx	Other-Screener and consent
Appendix E RTI IRB Exempt Correspondence 11-28-2022.pdf	Other-IRB exempt correspondence
SSA - Risk Factors of Lithium-Ion Batteries Used in ENDS 11-28-2022.docx Supporting Statement Part A - Survey of Risk Factors of Lithium-Ion Batteries used in ENDS	IC Document
SSB - Risk Factors of Lithium-Ion Batteries Used in ENDS 11-28-2022.docx Supporting Statement Part B - Survey of Risk Factors of Lithium-Ion Batteries used in ENDS	IC Document

IC Title:

Survey of Risk Factors of Lithium-Ion Batteries used in ENDS

Agency IC Tracking Number:

CTP

IC Status: Removed

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-Sample e-mail prompt	Appendix A Sample Email Prompt 11-28-2022.docx	Yes	Yes	Fillable Fileable
Other-Screener and consent	Appendix B-C-D Screener-Consent 11-28-2022.docx	Yes	Yes	Fillable Fileable
Other-IRB exempt correspondence	Appendix E RTI IRB Exempt Correspondence 11-28-2022.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: 3,876

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	3,876	3,876
Annual IC Time Burden (Hours)	3,876	3,876
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A - Survey of Risk Factors of Lithium-Ion Batteries used in ENDS	SSA - Risk Factors of Lithium-Ion Batteries Used in ENDS 11-28-2022.docx	11/28/2022
Supporting Statement Part B - Survey of Risk Factors of Lithium-Ion Batteries used in ENDS	SSB - Risk Factors of Lithium-Ion Batteries Used in ENDS 11-28-2022.docx	11/28/2022

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