Information Collection

Consumer Labeling Research Focus Groups

IC 262125 under ICR 202309-0583-001 · OMB 0583-0188.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appx A - Screener_9_8_23.docx	Other-Screener
Appx A - Screener_9_8_23.docx	Other-Screener
App B - Moderator Guide_9_18_23.docx	Other-focus group moderator guide
Appx D CLR Consent Form_9_18_23.docx	Other-consent form
Appx C Materials_9_8_23.docx Appendix C Materials	IC Document
Appx E - IRB_9_8_23.pdf IRB	IC Document
App B - Moderator Guide_9_18_23.docx Appendix B Moderator Guide	IC Document
Appx D CLR Consent Form_9_18_23.docx Appendix D Consent Form	IC Document
Appx C Materials_12_12_23.docx Appendix C Materials	IC Document

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	Appx A - Screener_9_8_23.docx	Yes	Yes	Fillable Fileable
Other-focus group moderator guide	App B - Moderator Guide_9_18_23.docx	No		Paper Only
Other-consent form	Appx D CLR Consent Form_9_18_23.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 864

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	864	864
Annual IC Time Burden (Hours)	164	164
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix C Materials	Appx C Materials_12_12_23.docx	12/12/2023

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