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Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth

IC 218581 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Instrument Pictures
Other-Creative Concept Stimuli
Other-Photographs for Tobacco Discus
Other-Facts for Discussion
Other-Check-In Survey
Other-Creative Concept Survey
Other-Moderator Guide
Other-Parental Consent Form (Retain)
Other-Parental Consent Form (Return)
Other-Parental Opt-Out
Other-Participant Assent Form (Retai
Other-Participant Assent Form (Retur
Other-Screener Script
Other-Screener
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Instrument Pictures Addendum A - Instrument Pictures(Final).docx No   Printable Only
Other-Creative Concept Stimuli Addendum B - Creative Concept Stimuli(Final).doc No   Printable Only
Other-Photographs for Tobacco Discussion Addendum C - Photographs for Tobacco Discussion(Final).pptx No   Printable Only
Other-Facts for Discussion Addendum D - Facts for Discussion(Final).docx No   Printable Only
Other-Check-In Survey Check-In Survey (Final).pdf No   Printable Only
Other-Creative Concept Survey Creative Concept Survey(Final).docx No   Printable Only
Other-Moderator Guide Moderator Guide(Final).docx No   Printable Only
Other-Parental Consent Form (Retain) Parental Consent Form (RETAIN)(Final).doc No   Printable Only
Other-Parental Consent Form (Return) Parental Consent Form (RETURN)(Final).doc No   Printable Only
Other-Parental Opt-Out Parental Opt-Out(Final).doc No   Printable Only
Other-Participant Assent Form (Retain) Participant Assent Form (RETAIN)(Final).doc No   Printable Only
Other-Participant Assent Form (Return) Participant Assent Form (RETURN)(Final).doc No   Printable Only
Other-Screener Script Screener Script(Final).docx No   Printable Only
Other-Screener Screener(Final).pdf No   Printable Only

Health Consumer Health and Safety

 

1,800 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 1,800 0 1,800 0 0 0
Annual IC Time Burden (Hours) 870 0 870 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Memo OMB Justification Memo.docx 10/15/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.