OMB
.report
Search
Sleep Messaging for Seated/Non-Sleep Products
Focus Groups
OMB: 3041-0136
IC ID: 250103
OMB.report
CPSC
OMB 3041-0136
ICR 202305-3041-001
IC 250103
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
Focus Group Worksheet.pdf
Instruction
Focus Group Worksheet.pdf
Instruction
Focus Group Session Overview.pdf
Session Overview
IC Document
Focus Group Session Overview.pdf
Session Overview
IC Document
Focus Group Screener.pdf
Screener
IC Document
Focus Group Screener.pdf
Screener
IC Document
Focus Group Supporting Statement.pdf
Supporting Statement
IC Document
Focus Group Supporting Statement.pdf
Supporting Statement
IC Document
Focus Group Consent Form_Revised.pdf
Consent Form revision
IC Document
Focus Group Consent Form_Revised.pdf
Consent Form revision
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sleep Messaging for Seated/Non-Sleep Products
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
Focus Group Worksheet.pdf
No
Paper 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:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
48
0
0
0
0
48
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Session Overview
Focus Group Session Overview.pdf
11/04/2021
Screener
Focus Group Screener.pdf
11/04/2021
Supporting Statement
Focus Group Supporting Statement.pdf
11/04/2021
Consent Form revision
Focus Group Consent Form_Revised.pdf
11/09/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.