View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Survey on Usage and Functionality of Smoke Alarms and Carbon Monoxide Alarms (SCOA) in US Households In-Home Administration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Survey			Appendix G to H - In-Home Survey and Abbreviated Survey.pdf		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: 1,185	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	1,185	0	100	0	0	1,085
Annual IC Time Burden (Hours)	1,552	0	467	0	0	1,085
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix A: Door Hanger	Appendix A - Door Hanger.pdf	10/28/2021
Appendix B-C: Consent Form and Waiver	Appendix B to C - Consent Form and Waiver.pdf	10/28/2021
Appendix D: Thank You Email	Appendix D - Thank You Email.pdf	10/28/2021
Appendix E-F: Explanation of Study and FAQs	Appendix E to F - Explanation of Study and FAQs.pdf	10/28/2021
Appendix I-L: Press Release, Advertisements, and Website Text	Appendix I to L - Press Release, Advertisements, and Website Text.pdf	10/28/2021

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