OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use

IC 208858 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Other-Stimuli
Other-Screener
Other-Youth Assent
Other-Parent Consent
Other-QUESTIONNAIRE
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Stimuli Experimenter Copy Testing Stimuli_OMB Submission_9_10_11.pptx Yes Yes Fillable Printable
Other-Screener Experimenter Copy Testing_Screener.docx Yes Yes Fillable Fileable
Other-Youth Assent Experimenter_Copy_Testing_ Youth Assent.docx Yes Yes Fillable Fileable
Other-Parent Consent Experimenter_Copy_Testing_ Parent Consent.docx Yes Yes Fillable Fileable
Other-QUESTIONNAIRE Tobacco Copy Testing Questionnaire.docx Yes Yes Fillable Fileable

Health Immunization Management

 

1,575 0
   
Individuals or Households
 
   100 %

  Requested 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 1,575 0 0 0 0 1,575
Annual IC Time Burden (Hours) 528 0 0 0 0 528
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Justification Memo Experimenter_Copy_Testing OMB Justification Memo.docx 09/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.