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

View Information Collection (IC)

Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A5 - Fresh Empire Survey Attachment A5 Fresh Empire survey.docx Yes Yes Fillable Fileable
Other-Attachment A6 - Cigarette, Cigar, Hookah, and E-Cig Facts Attachment A6 Cigarette, Cigar, Hookah, and E-cigarette Facts.docx Yes No Paper Only
Other-Attachment B5 - Smokeless Survey Attachment B5 TRC Smokeless survey.docx Yes Yes Fillable Fileable
Other-Attachment B6 - Smokeless Tobacco Facts Attachment B6 Smokeless Tobacco Facts.docx Yes No Paper Only
Other-Attachment C1 - Fresh Empire Youth Assent Survey Attachment C1 Fresh Empire youth assent - survey.docx Yes Yes Fillable Fileable
Other-Attachment C2 - Fresh Empire Parental Notification Opt Out Survey Attachment C2 Fresh Empire parental notification opt out - survey.docx Yes Yes Fillable Fileable
Other-Attachment C3 Fresh Empire Screener - Survey Attachment C3 Fresh Empire screener - survey.docx Yes No Paper Only
Other-Attachment C4 Fresh Empire Recruitment Ads Attachment C4 Fresh Empire Recruitment Ads.docx Yes No Paper Only
Other-Attachment D1 TRC Smokeless Youth Assent - Survey Attachment D1 TRC Smokeless youth assent - survey.docx Yes No Fillable Fileable
Other-Attachment D2 TRC Smokeless Parental Notification Opt Out - Survey Attachment D2 TRC Smokeless parental notification opt out - survey.docx Yes No Paper Only
Other-Attachment D3 TRC Smokeless Screener - Survey Attachment D3 TRC Smokeless screener - survey.docx Yes No Paper Only
Other-Attachment D4 TRC Smokeless Recruitment Ads Attachment D4 TRC Smokeless Recruitment Ads.docx Yes No Paper Only
Other-Attachment E1 AI-AN Youth Assent (Social Media) Attachment E1 AI-AN youth assent (Social media).docx Yes No Paper Only
Other-Attachment E2 AI-AN Parental Notification Opt Out (Social Media) Attachment E2 AI-AN parental notification opt out (Social media).docx Yes No Paper Only
Other-Attachment E3 AI-AN Screener (Social Media) Attachment E3 AI-AN screener (Social media).docx Yes No Paper Only
Other-Attachment E4 AI-AN Recruitment Ads (Social Media) Attachment E4 AI-AN Recruitment Ads (Social media).docx Yes No Paper Only
Other-Attachment E5 AI-AN Survey Attachment E5 AI-AN survey.docx Yes Yes Fillable Fileable
Other-Attachment E6 AI-AN Cigarette and E-Cigarette Facts Attachment E6 AI-AN Cigarette and E-cigarette Facts.docx Yes No Paper Only
Other-Attachment F1 AI-AN Invitation and Parental Permission (Online Panel) Attachment F1 AI-AN Invitation and Parental Permission (Online Panel).docx Yes No Paper Only
Other-Attachment F2 - AI-AN Youth Assent (Online Panel) Attachment F2 - AI-AN Youth Assent (Online Panel).docx Yes No Paper Only
Other-Attachment F3 - AI-AN Screener (Online Panel) Attachment F3 - AI-AN Screener (Online Panel).docx Yes No Paper Only

Health Consumer Health and Safety

 

5,860 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 5,860 0 0 0 0 5,860
Annual IC Time Burden (Hours) 1,371 0 0 0 0 1,371
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB approval memo 0810_OMB Gen IC Memo Part A Supporting Statement.docx 04/12/2019
OMB approval memo Part B 0810_OMB Gen IC Memo Part B Supporting Statement.docx 04/12/2019
Approval Letter 18-049CTP Chair Letter Approved 10-04-18.pdf 04/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.