Information Collection

Online Qualitative Study of Youth Reactions to Strategic Concepts Designed to Prevent Youth Tobacco Use

IC 208132 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Brand_NonTrier_Strategic_Concepts_STIMULI.pptx	Other-Stimuli
Discussion Guide.doc	Other-Discussion Guide
Parent_Consent-071913.doc	Other-Parent Consent
Screener.doc	Other-Screener
Youth_Assent.doc	Other-Youth Assent
0674_OMB_Justification_Memo_Revised-080813.doc 0674_OMB_Justification_Memo_Revised-080813	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-Stimuli	Brand_NonTrier_Strategic_Concepts_STIMULI.pptx	Yes	Yes	Paper Only
Other-Discussion Guide	Discussion Guide.doc	Yes	Yes	Printable Only
Other-Parent Consent	Parent_Consent-071913.doc	Yes	Yes	Printable Only
Other-Screener	Screener.doc	Yes	Yes	Printable Only
Other-Youth Assent	Youth_Assent.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0674_OMB_Justification_Memo_Revised-080813	0674_OMB_Justification_Memo_Revised-080813.doc	08/08/2013

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