Information Collection

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

IC 201319 under ICR 201109-0920-009 · OMB 0920-0910.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

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	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

table that charts IC Documents
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.