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An Investigation of Allergy to Cosmetics in the United States
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 230049
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201707-0910-018
IC 230049
( )
⚠️ Notice: This information collection may be referencing outdated material.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 A - Screener Questionnaire.docx
Other-Screener
Appendix B - Consent Form.doc
Other-Consent Form
Appendix C - Moderator Guide - Parents.docx
Other-Moderator Guide - Parents
Appendix C - Moderator Guide - People with Allergies.docx
Other-Moderator Guide - Allergies
Appendix C - Moderator Guide - People Without Allergies.docx
Other-Moderator Guide - No Allergies
0497 OMB Approval Memo - Allergy to Cosmetics.docx
OMB approval memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
An Investigation of Allergy to Cosmetics in the United States
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 A - Screener Questionnaire.docx
No
Paper Only
Other-Consent Form
Appendix B - Consent Form.doc
No
Paper Only
Other-Moderator Guide - Parents
Appendix C - Moderator Guide - Parents.docx
No
Paper Only
Other-Moderator Guide - Allergies
Appendix C - Moderator Guide - People with Allergies.docx
No
Paper Only
Other-Moderator Guide - No Allergies
Appendix C - Moderator Guide - People Without Allergies.docx
No
Paper 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:
640
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
640
0
640
0
0
0
Annual IC Time Burden (Hours)
245
0
245
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 - Allergy to Cosmetics.docx
02/12/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.