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Focus Groups on Bioactives in Infant Formula - Phase 1 (CFSAN)
Generic Clearance for Qualitative Data to Support Social and Behavioral Research for Food, Dietary Supplements, Cosmetics, and Animal Food and Feed
OMB: 0910-0891
IC ID: 248080
OMB.report
HHS/FDA
OMB 0910-0891
ICR 202007-0910-001
IC 248080
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0891 can be found here:
2023-08-08 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix I - Participant Screener.docx
Other-Screener
Appendix II - Moderator Guide.docx
Other-Moderator Guide
Appendix III - Mock Infant Formula Label.pdf
Other-Infant Formula Labels
Confirmation and Reminder Letters.docx
Other-Confirmation and Reminder Lett
Consent Form.docx
Other-Consent Form
0891 OMB Approval Memo - Bioactive Infant Formula 2021.docx
OMB Approval Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups on Bioactives in Infant Formula - Phase 1 (CFSAN)
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-Screener
Appendix I - Participant Screener.docx
Yes
Yes
Fillable Fileable
Other-Moderator Guide
Appendix II - Moderator Guide.docx
Yes
No
Printable Only
Other-Infant Formula Labels
Appendix III - Mock Infant Formula Label.pdf
Yes
No
Printable Only
Other-Confirmation and Reminder Letters
Confirmation and Reminder Letters.docx
Yes
No
Printable Only
Other-Consent Form
Consent Form.docx
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:
960
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
960
0
960
0
0
0
Annual IC Time Burden (Hours)
280
0
280
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0891 OMB Approval Memo - Bioactive Infant Formula 2021.docx
06/28/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.