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

National Tobacco Education Campaign Rough Cut Testing of Television Advertisements 0920-0910-17BCZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Online Questionnaire Recruitment Screener Att 2- Online Questionnaire Recruitment Screener Rough Cut Testing.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Online Questionnaire Att 4 - Online Questionnaire Main Screen Shots Rough Cut Testing.pdf NA Yes Yes Fillable Fileable
Form and Instruction NA Online Questionnaire Recruitment Screener / Questionnaire - Screenshots Att 4 - Online Questionnaire Main Screen Shots Rough Cut Testing.pdf NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

10,670 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 10,670 0 10,670 0 0 0
Annual IC Time Burden (Hours) 1,222 0 1,222 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Part A_Rough Cut Testing_0921 (002).docx 10/12/2017
Supporting Statement B Part B_Rough Cut Testing_0919.docx 10/12/2017
Online Questionnaire Email Invitation Att 1 - Online Questionnaire Email Invitation to Potential Respondents_Rough Cut Testing_2018 Tips Campaign.docx 10/12/2017
Toluna - Terms and Conditions Att 5 - Toluna Terms and Conditions_Rough Cut Testing.docx 10/12/2017
Toluna Privacy Policy Att 7 - Toluna Privacy Policy_Rough Cut Testing_2018 Tips Campaign.docx 10/12/2017
Batelle - IRB Approval Att 6 - Battelle IRB Approval.pdf 10/12/2017
Research Determination Att 8 - Research Determination.pdf 10/12/2017
National Tobacco Education Campaign - Link/Password Sure Link Info_National Tobacco Education Campaign.docx 10/13/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.