Information Collection

Other Tobacco Products (OTP); A Focus Group Study - Cigar, etc.

IC 209537 under ICR 201103-0910-003 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Instrument File	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

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 %

table that charts list of burden
	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

table that charts IC Documents
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.