Information Collection

Point-of-Sale Strategic Concept Testing – Focus Groups with Current Adult Smokers

IC 216334 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
POS Strategic Concept Testing_Screener_4 23 15.docx	Other-Screener
POS Strategic Concept Testing_Consent Form_4 23 15.docx	Other-Consent Form
POS Strategic Concept Testing_Concept Ranking Worksheet_4 21 15.pdf	Other-Concept Ranking Worksheet
POS Strategic Concept Testing_Discussion Guide_4 23 15.docx	Other-Discussion Guide
POS Strategic Concept Testing_Participant Rating Worksheet_4 21 15.pdf	Other-Participant Rating Worksheet
POS Strategic Concept Testing_Stimuli.pdf	Other-Concept Testing Stimuli
POS Strategic Concept Testing_OMB Memo_4 23 15.doc Supporting Statement Memo	IC Document

IC Title:

Point-of-Sale Strategic Concept Testing â Focus Groups with Current Adult Smokers

Agency IC Tracking Number:

CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Screener	POS Strategic Concept Testing_Screener_4 23 15.docx	No	Printable Only
Other-Consent Form	POS Strategic Concept Testing_Consent Form_4 23 15.docx	No	Printable Only
Other-Concept Ranking Worksheet	POS Strategic Concept Testing_Concept Ranking Worksheet_4 21 15.pdf	No	Printable Only
Other-Discussion Guide	POS Strategic Concept Testing_Discussion Guide_4 23 15.docx	No	Printable Only
Other-Participant Rating Worksheet	POS Strategic Concept Testing_Participant Rating Worksheet_4 21 15.pdf	No	Printable Only
Other-Concept Testing Stimuli	POS Strategic Concept Testing_Stimuli.pdf	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 432

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	432	432
Annual IC Time Burden (Hours)	288	288
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Memo	POS Strategic Concept Testing_OMB Memo_4 23 15.doc	04/28/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.