OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Quanitative Study of Youth Reactions to Rough-Cut Advertising to Prevent Youth Tobacco Use Among Multicultural Youth

IC 212999 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Other-Ad Stimuli
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Quanitative Study of Youth Reactions to Rough-Cut Advertising to Prevent Youth Tobacco Use Among Multicultural Youth CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Electronic Screener.doc Yes Yes Fillable Printable
Instruction Parental Consent Form.docx Yes Yes Fillable Printable
Instruction Parental Opt-Out.docx Yes Yes Fillable Printable
Instruction Participant Assent Form.doc Yes Yes Fillable Printable
Instruction Questionnaire.docx Yes Yes Fillable Printable
Other-Ad Stimuli Rough Cut Video Ad Stimuli.doc Yes Yes Printable Only

Health Public Health Monitoring

 

4,230 0
   
Individuals or Households
 
   100 %

  Approved 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 4,230 0 4,230 0 0 0
Annual IC Time Burden (Hours) 1,079 0 1,079 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Justification Memo OMB Justification Memo Copy Testing.docx 09/15/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.