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 Yes Yes Fillable Fileable
Other-Attachment A6 - Cigarette, Cigar, Hookah, and E-Cig Facts Yes No Paper Only
Other-Attachment B5 - Smokeless Survey Yes Yes Fillable Fileable
Other-Attachment B6 - Smokeless Tobacco Facts Yes No Paper Only
Other-Attachment C1 - Fresh Empire Youth Assent Survey Yes Yes Fillable Fileable
Other-Attachment C2 - Fresh Empire Parental Notification Opt Out Survey Yes Yes Fillable Fileable
Other-Attachment C3 Fresh Empire Screener - Survey Yes No Paper Only
Other-Attachment C4 Fresh Empire Recruitment Ads Yes No Paper Only
Other-Attachment D1 TRC Smokeless Youth Assent - Survey Yes No Fillable Fileable
Other-Attachment D2 TRC Smokeless Parental Notification Opt Out - Survey Yes No Paper Only
Other-Attachment D3 TRC Smokeless Screener - Survey Yes No Paper Only
Other-Attachment D4 TRC Smokeless Recruitment Ads Yes No Paper Only
Other-Attachment E1 AI-AN Youth Assent (Social Media) Yes No Paper Only
Other-Attachment E2 AI-AN Parental Notification Opt Out (Social Media) Yes No Paper Only
Other-Attachment E3 AI-AN Screener (Social Media) Yes No Paper Only
Other-Attachment E4 AI-AN Recruitment Ads (Social Media) Yes No Paper Only
Other-Attachment E5 AI-AN Survey Yes Yes Fillable Fileable
Other-Attachment E6 AI-AN Cigarette and E-Cigarette Facts Yes No Paper Only
Other-Attachment F1 AI-AN Invitation and Parental Permission (Online Panel) Yes No Paper Only
Other-Attachment F2 - AI-AN Youth Assent (Online Panel) Yes No Paper Only
Other-Attachment F3 - AI-AN Screener (Online Panel) 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 04/12/2019
OMB approval memo Part B 04/12/2019
Approval Letter 04/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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