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

View Information Collection (IC)

Message Platform Testing for Regular Cigarettes and Dual Use 16AVE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots Att 1A. Screenshots_042016 Screener.pdf Yes Yes Fillable Fileable
Other-Screenshots Att 1B. Screenshots_05252016 Main.pdf Yes Yes Fillable Fileable
Other-WORD Att 2A Moderator's Guide Dual Use_07 11_2016_OSH_clean.docx No   Paper Only
Other-WORD Att 3A Moderator's Guide Cigarette Smokers_07 11_2016_OSH_clean.docx No   Paper Only

Health Illness Prevention

 

16,000 0
   
Individuals or Households
 
   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 16,000 0 16,000 0 0 0
Annual IC Time Burden (Hours) 3,146 0 3,146 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Part A_Message Platform_07112016_clean.docx 07/13/2016
Supporting Statement B Part B_Message Platform_07 11 2016.docx 07/13/2016
Att 4_Email Recruitment Att 4. Email Recruitment_05 13 2016.docx 07/13/2016
Att 5_Terms and Conditions Att 5. Terms and Conditions_05 13 2016.docx 07/13/2016
Att 6_Privacy Policy Att 6. Privacy Policy_05 13 2016.docx 07/13/2016
Att 7_IRB Approval Att 7. IRB Approval Notice_V1 04 26 2016.pdf 07/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.