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Pretests for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements
IMPROVE Study Phase 2
OMB: 0910-0695
IC ID: 218520
OMB.report
HHS/FDA
OMB 0910-0695
ICR 201701-0910-014
IC 218520
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:
2024-03-07 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix C -- Pretest 1 Questionnaire 122215.doc
Other-Survey - Pretest 1
Appendix D -- Pretest 2 Questionnaire 122115.doc
Other-Survey - Pretest 2
Appendix E -- Pretests 3 and 4 Questionnaire 122215.doc
Other-Survey - Pretest 3 & 4
Appendix A -- Recruitment Email.doc
Recruitment Email(s)
IC Document
Appendix B - screener questions.doc
Screener
IC Document
Appendix F -- consent form 122215.doc
Consent Form
IC Document
OMB Justification Memo 122215.doc
OMB Justification Memo for Quantitative Info
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretests for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements
Agency IC Tracking Number:
CDER
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-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
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:
1,010
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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.