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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Focus Group Study of Youth Reactions to Strategic and Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth
Agency IC Tracking Number:
CTP
IC Status:
New
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-Survey Template
Brand Test Survey_Final.docx
No
Fillable Printable
Other-Survey
Brand Testing Stimuli_Final.pdf
No
Fillable Printable
Other-Survey
Check-In Survey - Creative Dev_Final.pdf
No
Fillable Printable
Other-Survey
Check-In Survey - Strategy Dev_Final.pdf
No
Fillable Printable
Instruction
Creative Concept Stimuli_Final.pdf
No
Fillable Printable
Other-Survey
Creative Concept Survey_Final.xlsx
No
Fillable Printable
Instruction
Creative Development Moderator Guide_Finals.docx
No
Fillable Printable
Instruction
Example Facts for Discussion_Final.pdf
No
Fillable Printable
Instruction
Instrument and Stimuli Pictures_Final.pdf
No
Fillable Printable
Instruction
Parental Consent Form_Final.doc
No
Fillable Printable
Instruction
Parental Opt-Out_Final.doc
No
Fillable Printable
Other-Survey
Part A 1 Check In Photo Interview Form_Final.xlsx
No
Fillable Printable
Other-Survey
Part A 2 Cultural Interview Form_Final.xlsx
No
Fillable Printable
Other-Survey
Part B 1 Picture Sort Worksheet_Final.docx
No
Fillable Printable
Instruction
Part B 2 Picture Sort Form_Final.xlsx
No
Fillable Printable
Other-Survey
Part B 3 Peer Crowd Interview Form_Final.xlsx
No
Fillable Printable
Instruction
Participant Assent Form_Final.doc
No
Fillable Printable
Other-Survey
Screener_Final.pdf
No
Fillable Printable
Instruction
Strategy Development Moderator Guide_Final.docx
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,680
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
1,680
0
1,680
0
0
0
Annual IC Time Burden (Hours)
1,260
0
1,260
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Study of Youth Reactions to Strategic and Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth Supporting Statement
OMB Justification Memo_Final.docx
10/27/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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