National Tobacco Prevention and Control Public Education Campaign: Rough Cut Testing of Print and Radio Ads

Message Testing for Tobacco Communication Activities (MTTCA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0910 can be found here:

Documents and Forms

Document Name Document Type
Att 3. Rough Cut Testing of Radio Ads 18-24 Main Questionnaire.pdf Instruction
Att 5. Rough Cut Testing of Print Ads 18-54 Main Questionnaire.pdf Instruction
Att 6. Rough Cut Testing of Radio Ads 18-54 Main Questionnaire.pdf Instruction
Attachment 1. OSH Rough Cut Testing of TV Ads-Screener-1.6.12.doc Instruction
Att 2. Rough Cut Testing of Print Ads 18-24 Main Questionnaire.pdf Instruction
Att 1. Rough Cut Testing of Print and Radio Ads 18-24 Screener.doc Instruction
Att 4. Rough Cut Testing of Print and Radio Ads 18-54 Screener.doc Instruction
Att 7. HIPoints Terms & Conditions.pdf Att 7. HIPoints Terms & Conditions IC Document
Att 8. HIPoints Terms of Use.pdf Att 8. HIPoints Terms of Use IC Document
Att 9. HIPoints Privacy Policy.pdf Att 9. HIPoints Privacy Policy IC Document
Att 10. Email to Potential Survey Respondents.html Att 10. Email to Potential Survey Respondents IC Document
0920-0910_IC _2_Part B_Print and Radio Rough Cuts_2012 01 24.docx 0920-0910_IC _2_Part B_Print and Radio Rough Cuts_ IC Document
Attachment 12 Justification.docx Attachment 12 Justification IC Document
Att 11. Follow-up Reminder Email to Potential Survey Respondents.html Att 11. Follow-up Reminder Email to Potential Survey Respondents IC Document
0920-0910_IC #2_Part A_Print and Radio Rough Cuts_2012 01 24 (REVISED 2012.02.17).Clean.docx 0920-0910_IC #2_Part A_Print and Radio Rough Cuts_2012 01 24 (REVISED 2012.02.17 IC Document

Information Collection (IC) Details

IC Title:	National Tobacco Prevention and Control Public Education Campaign: Rough Cut Testing of Print and Radio Ads	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	Att 4. Rough Cut Testing of Print and Radio Ads 18-54 Screener.doc	Yes	Yes	Printable Only
Instruction	Att 3. Rough Cut Testing of Radio Ads 18-24 Main Questionnaire.pdf	Yes	Yes	Printable Only
Instruction	Att 5. Rough Cut Testing of Print Ads 18-54 Main Questionnaire.pdf	Yes	Yes	Printable Only
Instruction	Att 6. Rough Cut Testing of Radio Ads 18-54 Main Questionnaire.pdf	Yes	Yes	Printable Only
Instruction	Attachment 1. OSH Rough Cut Testing of TV Ads-Screener-1.6.12.doc	Yes	Yes	Printable Only
Instruction	Att 2. Rough Cut Testing of Print Ads 18-24 Main Questionnaire.pdf	Yes	Yes	Printable Only
Instruction	Att 1. Rough Cut Testing of Print and Radio Ads 18-24 Screener.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,800	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	12,800	0	0	0	0	0
Annual IC Time Burden (Hours)	828	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Att 7. HIPoints Terms & Conditions	Att 7. HIPoints Terms & Conditions.pdf	02/22/2012
Att 8. HIPoints Terms of Use	Att 8. HIPoints Terms of Use.pdf	02/22/2012
Att 9. HIPoints Privacy Policy	Att 9. HIPoints Privacy Policy.pdf	02/22/2012
Att 10. Email to Potential Survey Respondents	Att 10. Email to Potential Survey Respondents.html	02/22/2012
0920-0910_IC _2_Part B_Print and Radio Rough Cuts_	0920-0910_IC _2_Part B_Print and Radio Rough Cuts_2012 01 24.docx	02/22/2012
Attachment 12 Justification	Attachment 12 Justification.docx	02/22/2012
Att 11. Follow-up Reminder Email to Potential Survey Respondents	Att 11. Follow-up Reminder Email to Potential Survey Respondents.html	02/22/2012
0920-0910_IC #2_Part A_Print and Radio Rough Cuts_2012 01 24 (REVISED 2012.02.17	0920-0910_IC #2_Part A_Print and Radio Rough Cuts_2012 01 24 (REVISED 2012.02.17).Clean.docx	02/22/2012

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