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Information Collection

Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Smokeless Tobacco Use Among Rural Youth

IC 217852 under ICR 201406-0910-011 · OMB 0910-0674.

Documents and Forms
Document Name
Document Type
Other-Informed Consent
Other-Opt-Out
Other-Questionnaire
Other-Screener
Other-Scripts
Other-Youth Assent
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Smokeless Tobacco Use Among Rural Youth CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Informed Consent Parent-Guardian Informed Consent_Rural Smokeless Copy.docx No   Printable Only
Other-Opt-Out Parent-Guardian Opt-Out_Rural Smokeless Copy.docx No   Printable Only
Other-Questionnaire Questionnaire_Rural Smokeless Copy.docx No   Printable Only
Other-Screener Screener_Rural Smokeless Copy.docx No   Printable Only
Other-Scripts SCRIPTS_.DOC No   Printable Only
Other-Youth Assent YOUTH-AS.DOC No   Printable Only

Health Consumer Health and Safety

 

2,394 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 2,394 0 2,394 0 0 0
Annual IC Time Burden (Hours) 865 0 865 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Memo OMB-MEMO.DOC 08/11/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.