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View Information Collection (IC)

LGBT Campaign: Wave 1B Online Quantitative Study Designed to Prevent Young Adult Tobacco Use CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Yes Yes Fillable Fileable
Other-Questionnaire Yes Yes Fillable Fileable
Other-Informed Consent Form Yes Yes Fillable Fileable
Other-Reminder Emails Yes No Printable Only
Other-Social Media Ads Yes No Printable Only
Other-Video Ad Stimuli Yes No Printable Only

Health Consumer Health and Safety

 

3,150 0
   
Individuals or Households
 
   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 3,150 0 0 0 0 3,150
Annual IC Time Burden (Hours) 427 0 0 0 0 427
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 01/04/2017
Supporting Statement B 01/04/2017
IRB Letter 01/04/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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