Information Collection

Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Reduce Tobacco Use

IC 207764 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Discussion Guide Experimenter Group Finalv2.docx	Other-Discussion Guide Experimenter
Informed Consent Parent (Experimenter Creative Concept) Final.docx	Other-Informed Consent Parent
Screener Experimenter Group Final.docx	Other-Screener
Informed Consent Youth Assent Final.docx	Other-Informed Consent Youth
Stimuli (Experimenter Phase 1) Final.pdf	Other-Stimuli
OMB Justification Memo Experimenter Creative Concept Final.docx OMB Justification Memo Experimenter Creative Concept Final	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

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-Discussion Guide Experimenter Group	Discussion Guide Experimenter Group Finalv2.docx	Yes	No	Printable Only
Other-Informed Consent Parent	Informed Consent Parent (Experimenter Creative Concept) Final.docx	Yes	No	Printable Only
Other-Screener	Screener Experimenter Group Final.docx	Yes	No	Printable Only
Other-Informed Consent Youth	Informed Consent Youth Assent Final.docx	Yes	No	Printable Only
Other-Stimuli	Stimuli (Experimenter Phase 1) Final.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 288

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	288	288
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo Experimenter Creative Concept Final	OMB Justification Memo Experimenter Creative Concept Final.docx	07/12/2013

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