Qualitative Study of Perceptions and Knowledge of Visually Depicted Health Conditions

Generic Clearance for the Collection of Qualitative Data on Tobacco Products and Communications

OMB: 0910-0796

IC ID: 218142

Documents and Forms
Document Name
Document Type
Other-Stimuli
Other-Adult Consent Form
Other-Adult Consent Form - Spanish
Other-Interview Guide
Other-Interview Guide - Spanish
Other-Parental Consent Form
Other-Parental Consent Form - Spanis
Other-Screener Adults - Spanish
Other-Screener - Youth and Parent
Other-Screener Youth Parent - Spanis
Other-Screener Adults
Other-Youth Assent Form
Other-Youth Assent Form - Spanish
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Qualitative Study of Perceptions and Knowledge of Visually Depicted Health Conditions CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Stimuli Qual Study of Perceptions and Knowledge Depicted Health Conds_Addendum A - Stimuli.docx No   Printable Only
Other-Adult Consent Form Qual Study of Perceptions and Knowledge Depicted Health Conds_Adult Consent Form.docx No   Printable Only
Other-Adult Consent Form - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Adult Consent Form_Spanish.docx No   Printable Only
Other-Interview Guide Qual Study of Perceptions and Knowledge Depicted Health Conds_Interview Guide.docx No   Printable Only
Other-Interview Guide - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Interview Guide__Spanish.docx No   Printable Only
Other-Parental Consent Form Qual Study of Perceptions and Knowledge Depicted Health Conds_Parental Consent Form.docx No   Printable Only
Other-Parental Consent Form - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Parental Consent Form_Spanish.docx No   Printable Only
Other-Screener Adults - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Screener - Adults_Spanish.docx No   Printable Only
Other-Screener - Youth and Parent Qual Study of Perceptions and Knowledge Depicted Health Conds_Screener - Youth and Parent.doc No   Printable Only
Other-Screener Youth Parent - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Screener - YouthParent_Spanish.docx No   Printable Only
Other-Screener Adults Qual Study of Perceptions and Knowledge Depicted Health Conds_Screener- Adults.doc No   Printable Only
Other-Youth Assent Form Qual Study of Perceptions and Knowledge Depicted Health Conds_Youth Assent Form.doc No   Printable Only
Other-Youth Assent Form - Spanish Qual Study of Perceptions and Knowledge Depicted Health Conds_Youth Assent Form_Spanish.docx No   Printable Only

Health Consumer Health and Safety

 

1,426 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 1,426 0 1,426 0 0 0
Annual IC Time Burden (Hours) 168 0 168 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Memo Depicted Health Conditions OMB Justification Memo.docx 09/11/2015
Supporting Statement Memo Updated Version Depicted Health Conditions OMB Justification Memo_101415.docx 10/16/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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