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

IMPROVE Study Phase 2

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - Recruitment E-mails.doc Other-Recruitment email
Appendix B - Eligibility Screener.doc Other-Screener
Appendix C - Questionnaire.doc Other-Survey
Appendix D - Consent Form.doc Other-Consent form
OMB approval request memorandum.doc OMB approval request memorandum IC Document

Information Collection (IC) Details

IC Title:	Pretest for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements	Agency IC Tracking Number:	CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment email	Appendix A - Recruitment E-mails.doc	Yes	Yes	Paper Only
Other-Screener	Appendix B - Eligibility Screener.doc	Yes	Yes	Fillable Fileable
Other-Survey	Appendix C - Questionnaire.doc	Yes	Yes	Fillable Fileable
Other-Consent form	Appendix D - Consent Form.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval request memorandum	OMB approval request memorandum.doc	10/16/2017

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