View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Youth 1st, 2nd, 3rd and 4th (Male, Rural Smokeless) follow up questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Youth Followup3 Instrument (male rural smokeless) Yes Yes Fillable Fileable
Other-Youth Assent (male rural smokeless) Yes Yes Fillable Fileable
Other- Incentive Letter (male rural smokeless) No   Paper Only
Other-Consent Forms 18 (male rural smokeless) Yes Yes Fillable Fileable
Other-Lead Letter 18 (male rural smokeless) Yes Yes Fillable Fileable
Other-Questions and Answers about the Evaluation 18 (male rural smokeless) Yes Yes Fillable Fileable
Other- Field Interviewer Verification - 18 (male rural smokeless) No   Fillable Printable
Other-Survey Invitation Email - 18 (male rural smokeless) No   Printable Only
Other-Email Reminder 1 - 18 (male rural smokeless) No   Printable Only
Other-Email Reminder 2 -18 (male rural smokeless) No   Printable Only
Other-Panel Maintenance Letter - 18 (male rural smokeless) No   Paper Only
Other- Panel Maintenance Update Form - 18 (male rural smokeless) No   Paper Only
Other-No Response Reminder Letter - 18 (male rural smokeless) No   Paper Only
Other-Panel Maintenance Email - 18 (male rural smokeless) Yes No Printable Only
Other-Youth Followup (1) 4 Instrument (male rural smokeless Yes Yes Fillable Fileable Signable
Other-Email Reminder 3 - 18 (male rural smokeless) Yes No Printable Only
Other-Post Card Reminder Notice No   Paper Only

Health Consumer Health and Safety

 

1,954 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 1,954 0 0 0 0 1,954
Annual IC Time Burden (Hours) 1,466 0 0 0 0 1,466
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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