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:
Creative Concept Testing Designed to Prevent Youth and Young Adult ENDS Use (Wave 4B)
Agency IC Tracking Number:
CTP
IC Status:
New
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-Screener
ENDS Appendix A1_Screener.docx
Yes
Yes
Fillable Printable
Other-Screener Contact Sheet
ENDS Appendix A2_Screener Contact Sheet.docx
No
Paper Only
Other-Parental Consent
ENDS Appendix B_Parental Consent.docx
Yes
Yes
Fillable Fileable
Other-Participant Assent Form
ENDS Appendix C_Participant Assent Form.docx
Yes
Yes
Fillable Fileable
Other-Participant Consent Form
ENDS Appendix D_Participant Consent Form.docx
Yes
Yes
Fillable Fileable
Other-Discussion Guide
ENDS Appendix E_Discussion Guide.docx
No
Printable Only
Other-Stimuli Concepts
ENDS Appendix F_Stimuli Concepts.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,450
0
3,450
0
0
0
Annual IC Time Burden (Hours)
866
0
866
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo
0910-0796_Memo_TRC ENDS W4B.docx
02/23/2024
IRB Letter
IRB Letter.pdf
02/23/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.