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

Gathering Consumer Feedback on the Real Cost Campaign (Cigarette Ad Focus) CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email invitation Appendix A - Email Invitation for Parents of Youth FINAL.docx Yes Yes Fillable Fileable
Other-Opt out form Appendix B - Parental Opt-Out Form FINAL.docx Yes Yes Fillable Fileable
Other-Youth full assent form Appendix C - Youth Full Assent Form FINAL.docx Yes Yes Fillable Fileable
Other-Brief assent and screener Appendix D- Brief Assent and Screener FINAL.docx Yes Yes Fillable Fileable
Other-Survey Appendix E- Survey FINAL.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

4,500 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 4,500 0 4,500 0 0 0
Annual IC Time Burden (Hours) 510 0 510 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement 0810 OMB memo Cig Ad FINAL.docx 08/22/2023
IRB 0810 Cig Ad IRB.docx 08/22/2023
Research Protocol Research Protocol Cigs FINAL.docx 08/22/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.