Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
General Population Screener and Consent Process (Youth and Parent) Modified 13413 2280 0 Other-Lead Letter
Other-Survey e-mail invitation
Media Tracking Questionnaires 1st, 2nd and; 3rd Modified 3999 2001 0 Other-Media Tracking Screener and Instrument
Other-Rationale for Item Changes to Media Tracking Instrument
Other-Youth Follow up Instrument
Other-Rational for Item Changes to the Follow up Instrument
Media Tracking Screener Modified 39999 1200 0 Other-Media Tracking Screener
Other-Rationale for Item Changes to Media Tracking Instrument
Parent Of Youth Baseline Survey Participants Modified 3342 568 0 Other-Lead Letter
Other-Survey Invitation email
Other-Parent Permission
Other-E-mail reminder #1
Other-E-mail reminder #2
Other-E-mail reminder #3
Youth 1st, 2nd, 3rd Follow-Up Questionnaire (Experimenter and Non-Trier) Modified 5242 3931 0 Other-Parent Permission
Other-Youth Assent
Other-Youth Follow-up Instrument
Other-Rationale for Item CHanges to the Follow up Instrument
Other-Media Tracking Screener and Instrument
Other-Rationale for Item Changes to Media Tracking Instrument
Youth 1st, 2nd, and; 3rd (Male, Rural Smokeless) follow up questionnaire Modified 1281 961 0 Other-Youth Follow-up Instrument
Other-Rationale for Item Changes to the Follwo up Instrument
Other-Media Tracking Screener and Instrument
Other-Rationale for Item Changes to Media Tracking Instrument
Youth Baseline Questionnaire (Experimenter and Non-Trier) Modified 2686 1343 0 Other-Youth Assent
Other-Parent Permission
Other-Youth Media Tracking Screener and Instrument
Other-E-mail reminder #1
Other-E-mail reminder #2
Other-E-mail reminder #3
Other-Media Tracking Screener and Instrument
Youth Baseline Questionnaire (Male Rural Smokeless) Modified 656 328 0 Other-Email reminder #1
Other-E-mail reminder #2
Other-E-mail reminder #3
Other-Parent permission
Other-Youth Assent
Other-Media Tracking Screener and Instrument
Other-Rationale for Item Changes to Media Tracking Instrument
Total burden requested under this ICR: 70618 12612 0  
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