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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CopyTesting of Television Advertising
Agency IC Tracking Number:
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
Form
none
Screener
Att 1a. Survey Screener Tips3 Subpop 1 Study 01292014.doc
Yes
Yes
Fillable Fileable
Form
none
Main Questionnaire
Att 1b. Survey Main Tips3 Subpop 1 01292014.doc
Yes
Yes
Fillable Fileable
Form
none
Screenshots
Att 5. FramedScreenshots - Dual Use Screener and Main.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,900
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
3,900
0
0
0
0
0
Annual IC Time Burden (Hours)
1,180
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Email Invitation
Att 2. Email Recruit Tips3 Subpop 1 Study.DOCX
02/11/2014
Toluna Privacy Policy
Att 3. Privacy Policy Tips3 Subpop 1 Study.DOCX
02/11/2014
Toluna Panel Terms and Conditions
Att 4. Terms and Conditions Tips3 Subpop 1 Study.DOCX
02/11/2014
Supporting Statement A
Part A_Dual Use Tips3 Subpop 1 Study 02102014.docx
02/11/2014
Supporting Statement B
Part B_Dual Use Tips3 Subpop 1 Study 02102014.docx
02/11/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.