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Experimental Survey
Experimental Study of Graphic Cigarette Warning Labels
OMB: 0910-0668
IC ID: 194510
OMB.report
HHS/FDA
OMB 0910-0668
ICR 201212-0910-002
IC 194510
( )
Documents and Forms
Document Name
Document Type
Supporting_statement_Appendix.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Experimental 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
Instruction
Supporting_statement_Appendix.pdf
Yes
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:
5,400
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
5,400
0
0
-18,000
23,400
0
Annual IC Time Burden (Hours)
2,700
0
0
-3,150
5,850
0
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.
