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Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use among General Market Youth (Wave 2)
Pretesting of Tobacco Communications
OMB: 0910-0674
IC ID: 211627
OMB.report
HHS/FDA
OMB 0910-0674
ICR 201301-0910-006
IC 211627
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0674 can be found here:
2014-06-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
General Market Wave 2 Copy Testing_Questionnaire.docx
Other-Questionnaire
General Market Wave 2 Copy Testing_Stimuli.docx
Other-Stimuli
General Market Youth Copy Testing Parental Opt-Out.docx
Instruction
General Market Youth Copy Testing_ Youth Assent.docx
Instruction
General Market Youth Wave 2 Copy Testing_Screener.docx
Instruction
OMB Justification Memo General Market Copy Testing Wave 2.docx
OMB Justification Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use among General Market Youth (Wave 2)
Agency IC Tracking Number:
CTP
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Questionnaire
General Market Wave 2 Copy Testing_Questionnaire.docx
Yes
Yes
Fillable Printable
Other-Stimuli
General Market Wave 2 Copy Testing_Stimuli.docx
Yes
Yes
Fillable Printable
Instruction
General Market Youth Copy Testing Parental Opt-Out.docx
Yes
Yes
Fillable Printable
Instruction
General Market Youth Copy Testing_ Youth Assent.docx
Yes
Yes
Fillable Printable
Instruction
General Market Youth Wave 2 Copy Testing_Screener.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
12,600
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
12,600
0
12,600
0
0
0
Annual IC Time Burden (Hours)
1,200
0
1,200
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo
OMB Justification Memo General Market Copy Testing Wave 2.docx
05/15/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.