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

View Information Collection (IC)

Monthly Monitoring Study: Little Cigar, Cigarillo, and Blunt Use Audience Insights Survey CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-LCC and Blunt Use Survey Questionnaire Yes Yes Fillable Printable
Other-LCC and Blunt Use Survey Screener Yes Yes Fillable Printable
Other-LCC and Blunt Use Survey Young Adult Consent Yes Yes Fillable Printable
Other-LCC and Blunt Use Survey Youth Assent Form Yes Yes Fillable Printable

Health Consumer Health and Safety

 

10,000 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 10,000 0 10,000 0 0 0
Annual IC Time Burden (Hours) 868 0 868 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Part A Supporting Statement _LCC and Blunt Use Survey 10/13/2022
OMB Part B Supporting Statement _LCC and Blunt Use Survey 10/13/2022
IRB Duke Modification Approval Notice 10/13/2022
IRB Facing Material Modification Approval Notice 10/13/2022
Monthly Monitoring Study LCC Blunt Use Privacy Protections 10/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.