Message Platform Testing for Development of Future Advertising

Testing and Evaluation of Tobacco Communication Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0910 can be found here:

Documents and Forms

Document Name Document Type
Message Platform Testing for Development of Future Advertising Form
Att 1c_IDI Moderator's Guide v12 FINAL.docx Other-Interview Guide
Screenshots of Survey Screener and Survey Main Questionn Att 1a_ScreenerQuestionnaire v14 FINAL.docx Form
Part A_Dual Use Platform Testing v19 07232014.docx Supporting Statement Part A IC Document
Part B_Dual Use Platform Testing v10 07232014.docx Supporting Statement Part B IC Document
Att 1a_ScreenerQuestionnaire v14 FINAL.docx Survey Screener - Word Format IC Document
Att 1b_MainQuestionnaire v14 FINAL.DOCX Survey Main Questionnaire - Word Format IC Document
Att 2_Email Recruitment v9 07162014.docx Email Invitation IC Document
Att 3_Privacy Policy v8 FINAL.docx Toluna Panelist Privacy Policies IC Document
Att 4_Terms and Conditions v8 FINAL.docx Toluna Panelist Terms and Conditions IC Document

Information Collection (IC) Details

IC Title:	Message Platform Testing for Development of Future Advertising	Agency IC Tracking Number:	14AGR

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
Form	none	Screenshots of Survey Screener and Survey Main Questionnaire	Att 1a_ScreenerQuestionnaire v14 FINAL.docx		Yes	Yes	Fillable Fileable
Other-Interview Guide			Att 1c_IDI Moderator's Guide v12 FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,590	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,590	4,590
Annual IC Time Burden (Hours)	1,519	1,519
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	Part A_Dual Use Platform Testing v19 07232014.docx	07/24/2014
Supporting Statement Part B	Part B_Dual Use Platform Testing v10 07232014.docx	07/24/2014
Survey Screener - Word Format	Att 1a_ScreenerQuestionnaire v14 FINAL.docx	07/24/2014
Survey Main Questionnaire - Word Format	Att 1b_MainQuestionnaire v14 FINAL.DOCX	07/24/2014
Email Invitation	Att 2_Email Recruitment v9 07162014.docx	07/24/2014
Toluna Panelist Privacy Policies	Att 3_Privacy Policy v8 FINAL.docx	07/24/2014
Toluna Panelist Terms and Conditions	Att 4_Terms and Conditions v8 FINAL.docx	07/24/2014

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