Information Collection

Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use among General Market Youth (Wave 2)

IC 211627 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
General Market Wave 2 Copy Testing_Questionnaire.docx	Other-Questionnaire
General Market Wave 2 Copy Testing_Stimuli.docx	Other-Stimuli
General Market Youth Copy Testing Parental Opt-Out.docx	Instruction
General Market Youth Copy Testing_ Youth Assent.docx	Instruction
General Market Youth Wave 2 Copy Testing_Screener.docx	Instruction
OMB Justification Memo General Market Copy Testing Wave 2.docx OMB Justification Memo	IC Document

IC Title:

Agency IC Tracking Number:

CTP

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-Questionnaire	General Market Wave 2 Copy Testing_Questionnaire.docx	Yes	Yes	Fillable Printable
Other-Stimuli	General Market Wave 2 Copy Testing_Stimuli.docx	Yes	Yes	Fillable Printable
Instruction	General Market Youth Copy Testing Parental Opt-Out.docx	Yes	Yes	Fillable Printable
Instruction	General Market Youth Copy Testing_ Youth Assent.docx	Yes	Yes	Fillable Printable
Instruction	General Market Youth Wave 2 Copy Testing_Screener.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,600

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	12,600	12,600
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo	OMB Justification Memo General Market Copy Testing Wave 2.docx	05/15/2014

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