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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Consumer Comprehension of Displays of Harmful and Potentially Harmful Constituents (HPHCs) in Tobacco Products
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-Screener HPHC Phase 1 IDIs
Screener HPHC Phase 1 IDIs 12.07.2016.docx
No
Printable Only
Other-Interviewer Guide
Interviewer Guide 12.07.2016.docx
No
Printable Only
Other-Parent Permission Form
Parent Permission Form HPHC 12.07.2016.docx
No
Paper Only
Other-Youth Assent
Youth Assent 12.07.2016.docx
No
Paper Only
Other-Adult Consent
Adult Consent 12.07.2016.docx
No
Paper Only
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:
428
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
428
0
428
0
0
0
Annual IC Time Burden (Hours)
144
0
144
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo
Final OMB Justification Memo 12.07.2016.docx
12/08/2016
Facility and Recruitment Plan
Facility and Recruitment Plan 12.07.2016.docx
12/08/2016
HPHC2 RIHSC Protocol
HPHC2 RIHSC Protocol 12.07.2016.docx
12/08/2016
FDA RIHSC Approval
FDA RIHSC Approval.pdf
12/08/2016
Approval Notice
Approval Notice.13984.Full.8-23-16.pdf
12/08/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.