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

View Information Collection (IC)

Fresh Empire Campaign: Wave 2 Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener (In-Person Electronic) Yes Yes Fillable Fileable
Other-Screener (In-Person Paper) No   Paper Only
Other-Screener (Social Media Electronic) Yes Yes Fillable Fileable
Other-Copy Testing Questionnaire Yes Yes Fillable Fileable
Other-Parental Opt-Out (In-Person) No   Paper Only
Other-Parental Consent Form (In-Person) No   Paper Only
Other-Parental Consent Verbal Script (In-Person) No   Paper Only
Other-Parental Opt-Out (Social Media) Yes Yes Fillable Fileable
Other-Participant Assent Form (In-Person) Yes Yes Fillable Fileable
Other-Participant Assent Form (Social Media) Yes Yes Fillable Fileable
Other-Social Media Advertisements Yes No Printable Only
Other-Video Ad Stimuli Yes No Printable Only

Health Consumer Health and Safety

 

19,310 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 19,310 0 19,310 0 0 0
Annual IC Time Burden (Hours) 1,531 0 1,531 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Part A - Quantitative Supporting Statement (Fresh Empire Campaign.Wave 2 06/23/2016
Part B - Quantitative Supporting Statement (Fresh Empire Campaign.Wave 2 06/23/2016
IRB Approval Letter 06/23/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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