Information Collection

Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use

IC 208858 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⚠️ Notice: This information collection may be referencing outdated material.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
Experimenter Copy Testing Stimuli_OMB Submission_9_10_11.pptx	Other-Stimuli
Experimenter Copy Testing_Screener.docx	Other-Screener
Experimenter_Copy_Testing_ Youth Assent.docx	Other-Youth Assent
Experimenter_Copy_Testing_ Parent Consent.docx	Other-Parent Consent
Tobacco Copy Testing Questionnaire.docx	Other-QUESTIONNAIRE
Experimenter_Copy_Testing OMB Justification Memo.docx OMB Justification Memo	IC Document

IC Title:

Online Quantitative Study of Youth Reactions to Rough-Cut Advertising 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	Experimenter Copy Testing Stimuli_OMB Submission_9_10_11.pptx	Yes	Yes	Fillable Printable
Other-Screener	Experimenter Copy Testing_Screener.docx	Yes	Yes	Fillable Fileable
Other-Youth Assent	Experimenter_Copy_Testing_ Youth Assent.docx	Yes	Yes	Fillable Fileable
Other-Parent Consent	Experimenter_Copy_Testing_ Parent Consent.docx	Yes	Yes	Fillable Fileable
Other-QUESTIONNAIRE	Tobacco Copy Testing Questionnaire.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,575

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	1,575	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
OMB Justification Memo	Experimenter_Copy_Testing OMB Justification Memo.docx	09/27/2013

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