OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Experimental Survey

IC 202182 under ICR 201205-0910-004 · OMB 0910-0736.

Documents and Forms
Document Name
Document Type
Other-Appendix B - Stimuli
Other-HPHC Prototype 1 Cigarette 22
Other-HPHC Prototype 1 Roll Your Own
Other-HPHC Prototype 2 Cigarette 22
Other-HPHC Prototype 2 Roll Your Own
Other-HPHC Prototype 3 Cigarette 22
Other-HPHC Prototype 3 Rool Your Own
Other-HPHC Prototype 4 Cigarette No
Other-HPHC Prototype 4 Roll Your Own
Other-HPHC Prototype 5 Cigarette 3
Other-HPHC Prototype 5 Roll Your Own
Other-HPHC Prototype 6 Cigarette 2
Other-HPHC Prototype 6 Roll Your Own
Information Collection (IC) Details

View Information Collection (IC)

Experimental Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B - Stimuli Appendix B-Stimuli.pdf Yes Yes Printable Only
Other-HPHC Prototype 1 Cigarette 22 HPHC_Prototype1Cigarette22.pdf Yes Yes Printable Only
Other-HPHC Prototype 1 Roll Your Own 10 HPHC_Prototype1RollYourOwn10.pdf Yes Yes Printable Only
Other-HPHC Prototype 2 Cigarette 22 HPHC_Prototype2Cigarette22.pdf Yes Yes Printable Only
Other-HPHC Prototype 2 Roll Your Own 02 HPHC_Prototype2RollYourOwn02.pdf Yes Yes Printable Only
Other-HPHC Prototype 3 Cigarette 22 HPHC_Prototype3Cigarette22.pdf Yes Yes Printable Only
Other-HPHC Prototype 3 Rool Your Own 02 HPHC_Prototype3RollYourOwn02.pdf Yes Yes Printable Only
Other-HPHC Prototype 4 Cigarette No Graphs 05 HPHC_Prototype4CigaretteNoGraphs05.pdf Yes Yes Printable Only
Other-HPHC Prototype 4 Roll Your Own 10 HPHC_Prototype4RollYourOwn10.pdf Yes Yes Printable Only
Other-HPHC Prototype 5 Cigarette 3 HPHC_Prototype5Cigarette3.pdf Yes Yes Printable Only
Other-HPHC Prototype 5 Roll Your Own 2 HPHC_Prototype5RollYourOwn02.pdf Yes Yes Printable Only
Other-HPHC Prototype 6 Cigarette 2 HPHC_Prototype6Cigarette2.pdf Yes Yes Printable Only
Other-HPHC Prototype 6 Roll Your Own 02 HPHC_Prototype6RollYourOwn02.pdf Yes Yes Printable Only

Health Public Health Monitoring

 

3,150 0
   
Individuals or Households
 
   100 %

  Requested 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 3,150 0 3,150 0 0 0
Annual IC Time Burden (Hours) 1,575 0 1,575 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.