Gen IC Memo

FDA DOCUMENTATION FOR THE GENERIC CLEARANCE

OF COLLECTION OF QUALITATIVE DATA ON TOBACCO PRODUCTS AND COMMUNICATIONS (0910-NEW)

.

TITLE OF INFORMATION COLLECTION: [insert]

DESCRIPTION OF THIS SPECIFIC COLLECTION

1. Statement of need:

[insert]

2. Intended use of information:

[insert]

3. Description of respondents:

[insert]

4. Date(s) to be Conducted:

[insert]

5. How the Information is being collected:

[insert]

6. Confidentiality of Respondents:

[insert]

7. Amount and justification for any proposed incentive

[insert]

8. Questions of a Sensitive Nature

[insert]

9. Description of Statistical Methods

[insert]

BURDEN HOUR COMPUTATION (Number of responses (X) estimated response or participation time in minutes (/60) = annual burden hours):

Type/Category of Respondent	No. of Respondents	Participation Time (minutes)	Burden (hours)

REQUESTED APPROVAL DATE: [insert]

NAME OF PRA ANALYST & PROGRAM CONTACT: [insert]

FDA CENTER: Center for Tobacco Products

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