Underage Alcohol Use Prevention Media Campaign Focus Groups Phases 2 & 3

Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages

OMB: 0930-0196

IC ID: 196724

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Underage Alcohol Use Prevention Media Campaign Focus Groups Phases 2 & 3
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Attachment 3: Female Screener Attachment 3: Female Screener Attachment 3 Female Parent Recruit-Screener 02-18-2011 FINAL.docx Yes No Paper Only
Form Attachment 2: Male Screener Attachment 2: Male Screener Attachment 2 Male Parent Recruit-Screener 02-18-2011 FINAL.docx Yes No Paper Only
Form Attachment 6: Child Screener Attachment 6: Child Screener Attachment 6 Child Recruit-Screener 02-18-2011 FINAL.docx Yes No Paper Only

Health Public Health Monitoring

 

184 0
   
State, Local, and Tribal Governments
 
   0 %

  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 184 0 0 0 0 0
Annual IC Time Burden (Hours) 258 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1: Target Audience Plan Phase 2 Attachment 1 Target Audience Plan Phase 2 02-18-2011 FINAL.docx 02/18/2011
Attachment 4: Adult Guide Attachment 4 Moderator Guide-Parents-Messages 02-18-2011 FINAL.docx 02/18/2011
Attachment 5: Message Concepts-Adult and Children Attachment 5 Message Concepts-Adult and Children 02-18-2011 FINAL.docx 02/18/2011
Attachment 7: Interview Guide Child Attachment 7 Interview Guide Children 02-18-2011 FINAL.docx 02/18/2011
Attachment 8: Parental Consent Form Attachment 8 Parental Consent Form V1 02-18-2011 FINAL.docx 02/18/2011
Attachment 9: 9-11 IRB Attachment 9 9-11 Yrs Olds Interview Assent form for Children 02-18-2011 FINAL.docx 02/18/2011
Attachment 10: 12-15 IRB Attachment 10 12-15 Yrs Olds Interview Assent form for Children 02-18-2011 FINAL.docx 02/18/2011
Attachment 11: Summary of $30 Gift Card Issues Attachment 11 Summary of $30 gift card issues 02-18-2011 FINAL.docx 02/18/2011
Supporting Statement Supporting Statement Focus Group 02-18-2011 FINAL.docx 02/18/2011
Transmittal Letter TransLet1-2011.doc 02/18/2011
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