Youth Reactions to Creative Advertising Concepts Designed to Reduce Tobacco Use among Multicultural Youth

Pretesting of Tobacco Communications

OMB: 0910-0674

IC ID: 209915

Documents and Forms
Document Name
Document Type
Other-Brand Test Stimuli
Other-Check In Survey and Instructio
Other-Creative Concept Testing Stimu
Other-Hip Hop Survey A
Other-Hip Hop Survey B
Other-Hip Hop Creative Concept Surve
Instruction
Other-Parent Consent Retain
Other-Parent Consent Return
Other-Parent Consent Verbal
Other-Parent Opt Out
Other-Participant Assent Retain
Other-Participant Assent Return
Other-Initial Screener Survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Youth Reactions to Creative Advertising Concepts Designed to Reduce Tobacco Use among Multicultural Youth
 
Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Brand Test Stimuli Brand Test Stimuli.doc Yes Yes Printable Only
Other-Check In Survey and Instruction Check-In Survey.pdf Yes Yes Printable Only
Other-Creative Concept Testing Stimuli Creative Concept Testing Stimuli.doc Yes Yes Printable Only
Other-Hip Hop Survey A Hip Hop Brand Test Survey Version A.docx Yes Yes Fillable Printable
Other-Hip Hop Survey B Hip Hop Brand Test Survey Version B.docx Yes Yes Fillable Printable
Other-Hip Hop Creative Concept Survey Hip Hop Creative Concept Survey.xlsx Yes Yes Fillable Printable
Instruction Moderator Guide.docx Yes Yes Printable Only
Other-Parent Consent Retain Parental Consent Form Under 13 (RETAIN).docx Yes Yes Fillable Printable
Other-Parent Consent Return Parental Consent Form Under 13 (RETURN).docx Yes Yes Fillable Printable
Other-Parent Consent Verbal Parental Consent Verbal Script Under 13.docx Yes Yes Fillable Printable
Other-Parent Opt Out Parental Opt-Out Form 13 and Over.docx Yes Yes Fillable Printable
Other-Participant Assent Retain Participant Assent Form (RETAIN).docx Yes Yes Fillable Printable
Other-Participant Assent Return Participant Assent Form (RETURN).docx No Yes Fillable Printable
Other-Initial Screener Survey Screener .pdf Yes Yes Printable Only

Health Immunization Management

 

500 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 580 0 0 0 0 580
Annual IC Time Burden (Hours) 192 0 0 0 0 192
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Multicultural Campaign Resh Oview_12_20_13 Multicultural Campaign Resh Oview_12_20_13.doc 12/20/2013
OMB Justification Memo 0910-0674 OMB Justification Memo 0910-0674.docx 12/20/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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