Information Collection

Online Qualitative Study of Youth Reactions to Strategic Concepts Designed to Prevent Youth Tobacco Use

IC 208132 under ICR 201301-0910-006 · OMB 0910-0674.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0674 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Brand_NonTrier_Strategic_Concepts_STIMULI.pptx	Other-Stimuli
Discussion Guide.doc	Other-Discussion Guide
Parent_Consent-071913.doc	Other-Parent Consent
Screener.doc	Other-Screener
Youth_Assent.doc	Other-Youth Assent
0674_OMB_Justification_Memo_Revised-080813.doc 0674_OMB_Justification_Memo_Revised-080813	IC Document

IC Title:

Online Qualitative Study of Youth Reactions to Strategic Concepts Designed to Prevent Youth Tobacco Use

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
Other-Stimuli	Brand_NonTrier_Strategic_Concepts_STIMULI.pptx	Yes	Yes	Paper Only
Other-Discussion Guide	Discussion Guide.doc	Yes	Yes	Printable Only
Other-Parent Consent	Parent_Consent-071913.doc	Yes	Yes	Printable Only
Other-Screener	Screener.doc	Yes	Yes	Printable Only
Other-Youth Assent	Youth_Assent.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

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	180	0	0	0	0	0
Annual IC Time Burden (Hours)	135	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
0674_OMB_Justification_Memo_Revised-080813	0674_OMB_Justification_Memo_Revised-080813.doc	08/08/2013

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