View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Menthol User Audience Research
Agency IC Tracking Number:
CTP
IC Status:
Unchanged
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-Appendix A - Study Invitation
Appendix A - Study Invitation_Updated 062222.docx
Yes
Yes
Fillable Fileable
Other-Appendix B. - Recruitment Screener
Appendix B - Recruitment Screener_Updated 062222.docx
Yes
Yes
Fillable Fileable
Other-Appendix C - Confirmation Script
Appendix C - Confirmation Script_Updated 062122.docx
Yes
Yes
Fillable Fileable
Other-Appendix D: Recruitment Communication
Appendix D - Recruitment Communication_Updated 062122.docx
Yes
No
Fillable Fileable
Other-Appendix E: In-depth Interview Questionnaire
Appendix E - IDI Questionnaire_Updated 062122.docx
Yes
Yes
Fillable Fileable
Other-Appendix F: Consent Form
Appendix F - Consent Form_Updated 062122.docx
Yes
Yes
Fillable Fileable
Other-Appendix G - Interview Guide
Appendix G - Interview Guide_Menthol User Audience Research_Updated 062122.docx
Yes
Yes
Fillable Fileable
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:
7,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
7,548
0
0
0
0
7,548
Annual IC Time Burden (Hours)
413
0
0
0
0
413
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo- Menthol User Audience Research
0796 OMB Gen IC Memo Menthol User Audience_Updated 062122.docx
06/23/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.