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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Reduce Tobacco Use among General Market Youth
Agency IC Tracking Number:
IC Status:
Unchanged
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-Youth Assent
General Market Youth Tobacco Wave 2 Assent FINAL.docx
Yes
No
Printable Only
Other-Consent
General Market Youth Tobacco Wave 2 2014_Consent FINAL.docx
Yes
No
Printable Only
Other-Screener
General Market Youth Tobacco Wave 2 Screener FINAL.docx
Yes
No
Printable Only
Other-Discussion Guide
General Market Youth Tobacco Wave 2 Discussion Guide FINAL.doc
Yes
No
Printable Only
Other-Stimuli
General Market Youth Tobacco Wave 2 Stimuli FINAL.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
144
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
144
0
0
0
0
144
Annual IC Time Burden (Hours)
228
0
0
0
0
228
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo
General Market Youth Tobacco Wave 2 Justification Memo FINAL.docx
03/21/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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