Pre-Launch Consumer Online Survey

Safer Choice Label Consultations

Documents and Forms

Document Name Document Type
2487-02_AttachB.docx Other-Screening Questionnaire for Ge
2487-02_AttachC.docx Other-Screening Questionnaire for “L
2487-02_AttachD.docx Other-Moderator’s Guide for Consumer
2487-02_AttachE.docx Other-Survey to Test Awareness and P

Information Collection (IC) Details

IC Title:	Pre-Launch Consumer Online 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	Instrument File	Available Electronically?	Electronic Capability
Other-Screening Questionnaire for General Adult Consumer Focus Group	2487-02_AttachB.docx	No	Paper Only
Other-Screening Questionnaire for “Leaning Green” Consumer Focus Group	2487-02_AttachC.docx	No	Paper Only
Other-Moderator’s Guide for Consumer Focus Group	2487-02_AttachD.docx	No	Paper Only
Other-Survey to Test Awareness and Perceptions of EPA’s Safer Choice Label: General Adult Population Survey	2487-02_AttachE.docx	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	4,000	2,000
Annual IC Time Burden (Hours)	2,000	1,333	667
Annual IC Cost Burden (Dollars)	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.