Information Collection

FDA Consumer Perception Research on New and Emerging Tobacco Products

IC 200081 under ICR 201009-0910-003 · OMB 0910-0674.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0674 can be found here:

Documents and Forms

Document Name Document Type
Doc03_Attachment A_ Parental Written Permission Youth Interview.pdf Instruction
Doc04_Attachment B_Youth Assent Form Interviews.pdf Instruction
Doc05_ Attachment C_FG_Young Adult Consent.pdf Instruction
Doc02_ Generic Template_Consmr Percept New Tobacco Prod.pdf Consumer Perceptions of New Tobacco Products IC Document
Doc01_ Generic Template_Consmr Percept New Tobacco Prod.pdf OMB Justification IC Document
Doc08_Attachment F_Youth Moderator Guide.pdf Attachment F - Youth Moderator Guide IC Document
Doc06_Attachment D_Tobacco FG screener_youth.pdf Attachment D - Youth Recruitment Screener IC Document
Doc07_Attachment E_Young adults recruitment screener.pdf Attachment E Young Adult Recruitment Screener IC Document
Doc09_Attachment G_Young Adult Group Guide.pdf Attachment G - Young Adult Group Guide IC Document
Doc10_ Attachment H_Focus Group Stimuli.pdf Attachment H - Focus Group Stimuli IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FDA Consumer Perception Research on New and Emerging Tobacco Products	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Doc03_Attachment A_ Parental Written Permission Youth Interview.pdf	Yes	No	Paper Only
Instruction	Doc04_Attachment B_Youth Assent Form Interviews.pdf	Yes	No	Paper Only
Instruction	Doc05_ Attachment C_FG_Young Adult Consent.pdf	Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 138	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	138	0	0	0	0	0
Annual IC Time Burden (Hours)	221	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Consumer Perceptions of New Tobacco Products	Doc02_ Generic Template_Consmr Percept New Tobacco Prod.pdf	11/04/2011
OMB Justification	Doc01_ Generic Template_Consmr Percept New Tobacco Prod.pdf	11/07/2011
Attachment F - Youth Moderator Guide	Doc08_Attachment F_Youth Moderator Guide.pdf	11/04/2011
Attachment D - Youth Recruitment Screener	Doc06_Attachment D_Tobacco FG screener_youth.pdf	11/04/2011
Attachment E Young Adult Recruitment Screener	Doc07_Attachment E_Young adults recruitment screener.pdf	11/04/2011
Attachment G - Young Adult Group Guide	Doc09_Attachment G_Young Adult Group Guide.pdf	11/04/2011
Attachment H - Focus Group Stimuli	Doc10_ Attachment H_Focus Group Stimuli.pdf	11/04/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.