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Healthy Icon (Symbol) Focus Groups – Phase III
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 242649
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201911-0910-015
IC 242649
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:
2023-10-31 - Extension without change of a currently approved collection
2020-10-02 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix I - Healthy Symbols.pdf
Other-Healthy Symbols
Appendix II - Screener.docx
Other-Screener
Appendix III - Moderator Guide.docx
Other-Moderator Guide
Appendix IV - Information Piece.docx
Other-Information Piece
Appendix V - Confirmation and Reminder Letters.docx
Other-Confirmation Letters
0497 OMB Approval Memo - Healthy Icon Phase III 2020.docx
OMB approval memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Healthy Icon (Symbol) Focus Groups – Phase III
Agency IC Tracking Number:
CFSAN
IC Status:
New
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-Healthy Symbols
Appendix I - Healthy Symbols.pdf
Yes
No
Printable Only
Other-Screener
Appendix II - Screener.docx
Yes
Yes
Fillable Fileable
Other-Moderator Guide
Appendix III - Moderator Guide.docx
Yes
No
Printable Only
Other-Information Piece
Appendix IV - Information Piece.docx
Yes
No
Printable Only
Other-Confirmation Letters
Appendix V - Confirmation and Reminder Letters.docx
Yes
No
Printable 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:
72
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
72
0
72
0
0
0
Annual IC Time Burden (Hours)
98
0
98
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval memo
0497 OMB Approval Memo - Healthy Icon Phase III 2020.docx
07/09/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.