Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire Unchanged 6270 4703 0 Other-Youth Follow-up Instrument ExPECTT
Other-Routing for Consent ExPECTT
Other-Youth Consent 18 and up ExPECTT
Cohort 2--Youth Baseline Questionnaire Unchanged 2667 2000 0 Other-Youth Baseline Instrument ExPECTT
Other-Youth Assent under 18 ExPECTT
General Population Screener and Consent Process (Youth and Parent) Modified 30880 5250 0 Other-Parent Guardian Tablet Screener ExPECTT
Other-Parent Guardian Mail Screener A ExPECTT
Other-Parent Mail_Screener (male rural smokeless)
Other-Parent Permission ExPECTT
Other- Parent Permission ExPECTT (2)
Other-Parent Permission (male rural smokeless)
Other-Parent Permission ExPECTT FU
Other-Parent Guardian Mail Screener B ExPECTT
Media Tracking Questionnaires 1st, 2nd and; 3rd Unchanged 6000 3000 0 Other-Media Tracking Instrument
Media Tracking Screener Unchanged 60000 1800 0 Other- Media Tracking Parent Permission
Other-Media Tracking Youth Assent
Other-Media Tracking Screener
Parent Of Youth Baseline Survey Participants Modified 6009 1022 0 Other-Email Reminder 3 ExPECTT
Other-Parent Screener and Instrument (male rural smokeless)
Other-Lead Letter (male rural smokeless)
Other-Lead Letter ExPECTT 1
Other-Lead Letter ExPECTT 2
Other-Survey Invitation Email ExPECTT
Other-Survey Invitation Email (male rural smokeless)
Other-Email Reminder 1 ExPECTT
Other-Mail Reminder 2ExPECTT
Other-Parent Guardian Instrument ExPECTT
Other-Introduction to Study
Other-Study Description
Other-Q&As about the ExPECTT Evaluation
Other-Questions and Answers (male rural smokeless)
Other-Telephone Verification Survey ExPECTT
Other-Field Interviewer Verification (male rural smokeless)
Other-Notifications ExPECTT
Other-Panel Maintenance ExPECTT
Other-Panel Maintenance Letter ExPECTT
Other-Panel Maintenance Letter (male rural smokeless)
Other-Panel_Maint_Update_Form (male rural smokeless)
Other-Notifications (male rural smokeless)
Other-Panel Maintenance Email (male rural smokeless)
Other-Email_Reminder 1 (male rural smokeless)
Other-Email_Reminder 2 (male rural smokeless)
Other-Email_Reminder 3 (male rural smokeless)
Other-Post Card Reminder Notice
Other-Text Message for Non-responders
Other-Email Reminder 3 ExPECTT 1st and 2nd FU
Other-Email Reminder 3 ExPECTT 3rd FU
Other-Parent Guardian Consent
Other-Lead Letter ExPECTT 2 - 1st and 2nd FU
Other-Lead Letter ExPECTT 2 - 3rd FU
Other-Email Reminder 1 ExPECTT (2) 1st and 2nd FU
Other-Email Reminder 1 ExPECTT (2) 3rd FU
Other-Survey Invitation-email ExPECTT (2) 1st and 2nd FU
Other-Survey Invitation-email ExPECTT (2) 3rd FU
Other-Email Reminder2 ExPECTT (2) 1st and 2nd FU
Other-Email Reminder 2 ExPECTT (2) 3rd FU
Youth 1st, 2nd, 3rd and 4th (Male, Rural Smokeless) follow up questionnaire Modified 1954 1466 0 Other-Youth Followup3 Instrument (male rural smokeless)
Other-Youth Assent (male rural smokeless)
Other- Incentive Letter (male rural smokeless)
Other-Consent Forms 18 (male rural smokeless)
Other-Lead Letter 18 (male rural smokeless)
Other-Questions and Answers about the Evaluation 18 (male rural smokeless)
Other- Field Interviewer Verification - 18 (male rural smokeless)
Other-Survey Invitation Email - 18 (male rural smokeless)
Other-Email Reminder 1 - 18 (male rural smokeless)
Other-Email Reminder 2 -18 (male rural smokeless)
Other-Panel Maintenance Letter - 18 (male rural smokeless)
Other- Panel Maintenance Update Form - 18 (male rural smokeless)
Other-No Response Reminder Letter - 18 (male rural smokeless)
Other-Panel Maintenance Email - 18 (male rural smokeless)
Other-Youth Followup (1) 4 Instrument (male rural smokeless
Other-Email Reminder 3 - 18 (male rural smokeless)
Other-Post Card Reminder Notice
Youth 1st, 2nd, 3rd and 4th Follow-Up Questionnaire (Experimenter and Non-Trier) Modified 6666 5000 0 Other-Youth Assent under 18 ExPECTT
Other-Youth Consent 18 and up ExPECTT
Other-Routing for Consent ExPECTT
Other-Youth Follow-up Instrument ExPECTT
Youth Baseline Questionnaire (Experimenter and Non-Trier) Unchanged 2288 1144 0 Other-Youth Assent under 18 ExPECTT
Youth Baseline Questionnaire (Male Rural Smokeless) Unchanged 656 328 0 Other-Youth Baseline
Other-Study Description
Total burden requested under this ICR: 123390 25713 0  
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