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Assessment of the Safety Reporting Portal (SRP) Reporting Form for Foods, Cosmetics, Infant Formula and Dietary Supplements - Wave 1 Usability Interviews CFSAN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App. I. - Recruitment Screener 0697_App I. Recruitment Screener_SRP Usability Interviews Wv_1_071122.docx Yes Yes Fillable Fileable
Other-App. II. - Participant Confirmation and Reminder Emails 0697_App_II_Participant_Confirm&Remr_Emails_SRP_Usability_Intervw_Wave_1_071122.docx Yes No Printable Only
Other-App. III. - Consent Form 0697_App III. Consent Form_SRP Usability Interviews Wave 1_071122.docx Yes No Printable Only
Other-App. IV. - Report Scenarios 0697_App_IV_Report_Scenarios_SRP_Usability_Intervw_Wv_1_071122.docx Yes No Printable Only
Other-App. V. - Mock Product Labels 0697_App_V_Mock_Product_Labels_SRP_Usability_ Intervw_Wave_1-071122.pdf Yes No Printable Only
Other-App. VI. - Interview Guide Desktop 0697_App VI. Interview Guide Desktop_SRP Usability Interviews Wave 1_071122.docx Yes Yes Fillable Fileable
Other-App. VII. Interview Guide Mobile 0697_App VII. Interview Guide Mobile_SRP Usability Interviews Wave 1_071122.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

48 0
   
Individuals or Households
 
   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 96 0 96 0 0 0
Annual IC Time Burden (Hours) 32 0 32 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo - SRP Usability Interviews Wave 1 0697 OMB Memo-SRP Usability Interviews Wave1-071822.docx 07/18/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.