Information Collection

Creative Testing Experiment Questionaire

IC 259215 under ICR 202306-0990-001 · OMB 0990-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0476 can be found here:

Documents and Forms

Document Name Document Type
0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx Other-Testing Questionnaire
0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx Other-Testing Questionnaire
0990-0476 COVID-19 Creative Testing Survey_05.01.2023.docx Other-Testing Questionnaire
0990-0476 COVID-19 Creative Testing Survey_05.01.2023.docx Other-Testing Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Creative Testing Experiment Questionaire	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Testing Questionnaire			0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx		Yes	Yes	Fillable Fileable
Other-Testing Questionnaire			0990-0476 COVID-19 Creative Testing Survey_05.01.2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 252,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	252,000	252,000
Annual IC Time Burden (Hours)	14,400	14,400
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.