Media Tracking Questionnaires 1st, 2nd amp; 3rd

Evaluation of the Food and Drug Administrations's General Market Youth Tobacco Prevention Campaign

OMB: 0910-0753

IC ID: 208714

Information Collection (IC) Details

View Information Collection (IC)

Media Tracking Questionnaires 1st, 2nd amp; 3rd
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 4a_Rationale for conducting Media Tracking.docx Yes No Printable Only
Instruction Attachment 10_Baseline Parent Lead Letter_tracked changes.doc Yes No Printable Only
Instruction Attachment 11_Questions and Answers about the ExPECTT Evaluation_tracked changes.doc Yes No Printable Only
Other-Survey Attachment 12_Telephone Verification Survey_tracked changes.doc Yes No Printable Only
Instruction Attachment 13_Notifications_tracked changes.doc Yes No Printable Only
Instruction Attachment 5_Incentives_tracked changes.doc Yes No Printable Only
Instruction Attachment 6_Permission Assent Consent_tracked changes.doc Yes No Printable Only
Instruction Attachment 7_Introduction to Study_tracked changes.doc Yes No Printable Only
Instruction Attachment 8_Study Description_tracked changes.doc Yes No Printable Only
Instruction Attachment 9_Privacy and Data Security.doc Yes No Printable Only
Other-Survey Attachment 4 Media Tracking Screener and Instrument Clean.doc Yes No Fillable Printable

Health Immunization Management

 

3,999 0
   
Individuals or Households
 
   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 3,999 0 0 0 0 3,999
Annual IC Time Burden (Hours) 2,001 0 0 0 0 2,001
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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