OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

LGBT Campaign: Focus Group Study of Brand and Creative Concepts Designed to Prevent LGBT Young Adult Tobacco Use

IC 215003 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Other-screener
Other-consent form for participant t
Other-consent form for participant t
Other-focus group moderator guide
Other-survey (brand test v. A)
Other-survey (brand test v. B)
Other-brand test stimuli
Other-creative concept testing stimu
Other-creative concept survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

LGBT Campaign: Focus Group Study of Brand and Creative Concepts Designed to Prevent LGBT Young Adult Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screener Screener LGBT.docx No   Printable Only
Other-consent form for participant to retain Consent Form_Retain LGBT.docx No   Paper Only
Other-consent form for participant to return Consent Form_Return LGBT.docx No   Paper Only
Other-focus group moderator guide Moderator Guide LGBT.docx No   Paper Only
Other-survey (brand test v. A) Brand Test Survey Version A LGBT.docx No   Paper Only
Other-survey (brand test v. B) Brand Test Survey Version B LGBT.docx No   Paper Only
Other-brand test stimuli Addendum A - Brand Testing Stimuli LGBT.pdf No   Paper Only
Other-creative concept testing stimuli Addendum B - Creative Concept Testing Stimuli LGBT.docx No   Paper Only
Other-creative concept survey Creative Concept Survey LGBT.xlsx No   Paper Only

Health Consumer Health and Safety

 

896 0
   
Individuals or Households
 
   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 896 0 896 0 0 0
Annual IC Time Burden (Hours) 448 0 448 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Abbreviated Supporting Statement/OMB memo 0910-0674 LGBT OMB Justification Memo_LGBT_BCC.docx 02/13/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.