OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Study of Adolescent and Young Adult Perceptions Related to Cigarette Smoking

IC 202772 under ICR 201009-0910-003 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Other-Consent Form
Other-Consent Form
Other-Moderator Script
Other-Screener Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Focus Group Study of Adolescent and Young Adult Perceptions Related to Cigarette Smoking
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent Form Doc02_Adol Consent.pdf Yes Yes Printable Only
Other-Consent Form Doc03_Adult Informed Consent.pdf Yes No Printable Only
Other-Moderator Script Doc04_FinalModGuideAdol YA Percept.pdf Yes No Printable Only
Other-Screener Form Doc05_FnlScrAdolYA Percept RelCigSmok.pdf Yes No Printable Only

Health Immunization Management

 

76 0
   
Individuals or Households
 
   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 76 0 0 0 0 0
Annual IC Time Burden (Hours) 122 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Summary Supporting Statement for Focus Group Study of Adolescent and Young Adult Perceptions Related to Cigarette Smoking Doc01_Generic Memo_Adole YAt Percpt.pdf 06/14/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.