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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Kantar Media Study: The Effect of FDA Messaging on Tobacco Product Risks on Attention, Perceptions, and Behaviors among Young People
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-Invitation and recruitment message
Kantar 2024 Attachment A Invitation and Recruitment Message 7-17-24.docx
Yes
Yes
Fillable Fileable
Other-Screener
Kantar 2024 Attachment B Screener 7-17-24.docx
Yes
Yes
Fillable Fileable Signable
Other-Consent form
Kantar 2024 Attachment C Consent Form 7-17-24.docx
Yes
Yes
Fillable Fileable
Other-Survey
Kantar 2024 Attachment D Survey 7-17-24.docx
Yes
Yes
Fillable Fileable
Other-Stimuli
Kantar 2024 Attachment E Stimuli 7-15-24.docx
Yes
Yes
Printable Only
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:
40,000
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
40,000
0
40,000
0
0
0
Annual IC Time Burden (Hours)
5,868
0
5,868
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IRB Original
Kantar 2024 Attachment F Initial IRB Approval.docx
07/17/2024
IRB Amendment
Kantar 2024 Attachment G IRB Amendment Approval.docx
07/17/2024
OMB Memo / Abbreviated Supporting Statement
0810 OMB Memo Kantar Study 7-17-24.docx
07/17/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.