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

View Information Collection (IC)

Gathering Consumer Feedback on The Real Cost Campaign (ENDS 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 for Parents of Youth Appendix A - Email Invitation for Parents of Youth.docx Yes Yes Fillable Fileable Signable
Other-Parental Opt-Out Appendix B - Parental Opt-Out.docx Yes Yes Fillable Fileable Signable
Other-Brief Assent and Screener Appendix C- Brief Assent and Screener.docx Yes Yes Fillable Fileable Signable
Other-Youth Full Assent Form Appendix D - Youth Full Assent Form.docx Yes Yes Fillable Fileable Signable
Other-Survey Appendix E- ENDS IMT Survey.docx Yes Yes Fillable Fileable
Other-Scripts Scripts.docx Yes No Fillable Printable

Health Public Health Monitoring

 

3,750 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 3,750 0 3,750 0 0 0
Annual IC Time Burden (Hours) 925 0 925 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Justification Memo 0810 OMB memo ENDS Ad.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.