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Other Tobacco Products (OTP); A Focus Group Study - Cigar, etc.
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 209537
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201103-0910-003
IC 209537
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:
2023-10-31 - Extension without change of a currently approved collection
2020-10-02 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
FDA Generic Clearance Memo for OTP Focus Groups 112213.doc
Instruction
FG Screener_Cigars_6-10-13.doc
Instruction
OTP FG Consent_Form.doc
Other-Consent Form
OTP Mod Guide_6-10-13.docx
Other-Moderator Guide
FG Screener_ECig_6-10-13.doc
Other-FG Screener E-Cigarettes
FG Screener_Hookah_6-10-13.doc
Other-FG Screener Hookah
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Other Tobacco Products (OTP); A Focus Group Study - Cigar, etc.
Agency IC Tracking Number:
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
Instruction
FDA Generic Clearance Memo for OTP Focus Groups 112213.doc
Yes
Yes
Printable Only
Instruction
FG Screener_Cigars_6-10-13.doc
Yes
Yes
Printable Only
Other-Consent Form
OTP FG Consent_Form.doc
Yes
Yes
Printable Only
Other-Moderator Guide
OTP Mod Guide_6-10-13.docx
Yes
Yes
Printable Only
Other-FG Screener E-Cigarettes
FG Screener_ECig_6-10-13.doc
Yes
Yes
Printable Only
Other-FG Screener Hookah
FG Screener_Hookah_6-10-13.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
480
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
480
0
0
0
0
0
Annual IC Time Burden (Hours)
528
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.