Cognitive Interview, Pretest, and Survey (Study 1)

Experimental Studies of Nutrition Symbols on Food Packages

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0655 can be found here:

Documents and Forms

Document Name Document Type
symbol experiment Study 1 survey instrument Appendix G.doc Other-survey
symbol experiment Study 1 eye tracking survey instrument Appendix H.doc Other-survey
symbol experiment study 1 cognitive interview screener (appendix M) 120909.doc Other-cognitive interview screener
symbol experiment study 1 symbols.doc symbol experiment study 1 symbols IC Document
symbol experiment Study 1 reminder appendix K.doc symbol experiment Study 1 reminder appendix K IC Document
symbol experiment Study 1 eye tracking invitation Appendix E.doc symbol experiment Study 1 eye tracking invitation Appendix E IC Document

Information Collection (IC) Details

IC Title:	Cognitive Interview, Pretest, and Survey (Study 1)	Agency IC Tracking Number:

Is this a Common Form?		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-survey	symbol experiment Study 1 survey instrument Appendix G.doc	Yes	Yes	Fillable Fileable
Other-survey	symbol experiment Study 1 eye tracking survey instrument Appendix H.doc	Yes	Yes	Fillable Fileable
Other-cognitive interview screener	symbol experiment study 1 cognitive interview screener (appendix M) 120909.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: 14,784	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,784	14,784
Annual IC Time Burden (Hours)	1,427	1,427
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
symbol experiment study 1 symbols	symbol experiment study 1 symbols.doc	12/09/2009
symbol experiment Study 1 reminder appendix K	symbol experiment Study 1 reminder appendix K.doc	12/09/2009
symbol experiment Study 1 eye tracking invitation Appendix E	symbol experiment Study 1 eye tracking invitation Appendix E.doc	12/09/2009

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