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Federal forms, ICRs, and supporting documents

Information Collection

Tobacco Retailer Education Program: In-depth Interviews to Inform the Development of Educational Materials

IC 214141 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Instruction
Other-Consent Form
Other-Screener Form
Other-Stimuli Fact Cards
Other-Stimuli Variants
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Tobacco Retailer Education Program: In-depth Interviews to Inform the Development of Educational Materials CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Discussion Guide_Final.docx No   Printable Only
Other-Consent Form Informed Consent Form_Final.docx No   Printable Only
Other-Screener Form Screener_Final.docx No   Printable Only
Other-Stimuli Fact Cards Stimuli_Fact Cards.pdf No   Printable Only
Other-Stimuli Variants Stimuli_Variants.pdf No   Printable Only

Health Consumer Health and Safety

 

240 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 240 0 240 0 0 0
Annual IC Time Burden (Hours) 130 0 130 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Justification Memo Retailer Ed OMB Justification Memo Retailer Ed_Final.doc 12/03/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.