OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretests for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements

IC 218520 under ICR 201607-0910-010 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Survey - Pretest 1
Other-Survey - Pretest 2
Other-Survey - Pretest 3 & 4
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Pretests for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey - Pretest 1 Appendix C -- Pretest 1 Questionnaire 122215.doc Yes Yes Fillable Fileable
Other-Survey - Pretest 2 Appendix D -- Pretest 2 Questionnaire 122115.doc Yes Yes Fillable Fileable
Other-Survey - Pretest 3 & 4 Appendix E -- Pretests 3 and 4 Questionnaire 122215.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,010 0
   
Individuals or Households
 
   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 1,010 0 0 0 0 1,010
Annual IC Time Burden (Hours) 419 0 0 0 0 419
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Email(s) Appendix A -- Recruitment Email.doc 10/07/2015
Screener Appendix B - screener questions.doc 10/07/2015
Consent Form Appendix F -- consent form 122215.doc 01/06/2016
OMB Justification Memo for Quantitative Info OMB Justification Memo 122215.doc 01/06/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.