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Federal forms, ICRs, and supporting documents

Information Collection

Wave 3 Phase 1 Qualitative Research: General Market ("The Real Cost") At-Risk Youth Tobacco Prevention Focus Groups

IC 215643 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Other-Assent Form
Other-Consent Form
Other-Discussion Guide
Other-Screener
Other-Stimuli
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Wave 3 Phase 1 Qualitative Research: General Market ("The Real Cost") At-Risk Youth Tobacco Prevention Focus Groups CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent Form General Market Youth Tobacco Wave 3 Consent Form 3 10 15 doc.docx No   Printable Only
Other-Discussion Guide General Market Youth Tobacco Wave 3 Discussion Guide Updates for 3 10 15.doc No   Printable Only
Other-Screener General Market Youth Tobacco Wave 3 Screener 3 10 15.docx No   Printable Only
Other-Stimuli General Market Youth Tobacco Wave 3 Stimuli_02122015.docx No   Printable Only
Other-Assent Form General Market Youth Tobacco Wave 3 Assent Form 3 10 15.docx No   Printable Only

Health Consumer Health and Safety

 

540 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 540 0 540 0 0 0
Annual IC Time Burden (Hours) 363 0 363 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Memo General Market Youth Tobacco Wave 3 OMB Memo 3 10 15.docx 03/11/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.