OMB
.report
Search
Number to Complete the Survey
Experimental Study of Format Variations in the Brief Summary of Direct-to-Consumer (DTC) Print Advertisements
OMB: 0910-0703
IC ID: 198470
OMB.report
HHS/FDA
OMB 0910-0703
ICR 201211-0910-002
IC 198470
( )
Documents and Forms
Document Name
Document Type
APPENDIX D - Pretest and Main Study Questionnaires.doc
Other-questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Number to Complete the Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-questionnaire
APPENDIX D - Pretest and Main Study Questionnaires.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11,750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
11,750
0
0
0
0
11,750
Annual IC Time Burden (Hours)
3,917
0
0
0
0
3,917
Annual IC Cost Burden (Dollars)
0
0
0
0
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.