OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Study of Youth Reactions to Strategic and Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth

IC 213626 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Brand Test Survey_Final.docx Other-Survey Template
Brand Testing Stimuli_Final.pdf Other-Survey
Check-In Survey - Creative Dev_Final.pdf Other-Survey
Check-In Survey - Strategy Dev_Final.pdf Other-Survey
Creative Concept Stimuli_Final.pdf Instruction
Creative Concept Survey_Final.xlsx Other-Survey
Creative Development Moderator Guide_Finals.docx Instruction
Example Facts for Discussion_Final.pdf Instruction
Instrument and Stimuli Pictures_Final.pdf Instruction
Parental Consent Form_Final.doc Instruction
Parental Opt-Out_Final.doc Instruction
Part A 1 Check In Photo Interview Form_Final.xlsx Other-Survey
Part A 2 Cultural Interview Form_Final.xlsx Other-Survey
Part B 1 Picture Sort Worksheet_Final.docx Other-Survey
Part B 2 Picture Sort Form_Final.xlsx Instruction
Part B 3 Peer Crowd Interview Form_Final.xlsx Other-Survey
Participant Assent Form_Final.doc Instruction
Screener_Final.pdf Other-Survey
Strategy Development Moderator Guide_Final.docx Instruction
OMB Justification Memo_Final.docx
Focus Group Study of Youth Reactions to Strategic and Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among 		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Template Brand Test Survey_Final.docx No   Fillable Printable
Other-Survey Brand Testing Stimuli_Final.pdf No   Fillable Printable
Other-Survey Check-In Survey - Creative Dev_Final.pdf No   Fillable Printable
Other-Survey Check-In Survey - Strategy Dev_Final.pdf No   Fillable Printable
Instruction Creative Concept Stimuli_Final.pdf No   Fillable Printable
Other-Survey Creative Concept Survey_Final.xlsx No   Fillable Printable
Instruction Creative Development Moderator Guide_Finals.docx No   Fillable Printable
Instruction Example Facts for Discussion_Final.pdf No   Fillable Printable
Instruction Instrument and Stimuli Pictures_Final.pdf No   Fillable Printable
Instruction Parental Consent Form_Final.doc No   Fillable Printable
Instruction Parental Opt-Out_Final.doc No   Fillable Printable
Other-Survey Part A 1 Check In Photo Interview Form_Final.xlsx No   Fillable Printable
Other-Survey Part A 2 Cultural Interview Form_Final.xlsx No   Fillable Printable
Other-Survey Part B 1 Picture Sort Worksheet_Final.docx No   Fillable Printable
Instruction Part B 2 Picture Sort Form_Final.xlsx No   Fillable Printable
Other-Survey Part B 3 Peer Crowd Interview Form_Final.xlsx No   Fillable Printable
Instruction Participant Assent Form_Final.doc No   Fillable Printable
Other-Survey Screener_Final.pdf No   Fillable Printable
Instruction Strategy Development Moderator Guide_Final.docx No   Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 1,680 0 1,680 0 0 0
Annual IC Time Burden (Hours) 1,260 0 1,260 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Focus Group Study of Youth Reactions to Strategic and Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth Supporting Statement OMB Justification Memo_Final.docx 10/27/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.