Information Collection

Focus Groups on ENDS: Device Types, User Experiences, and Product Appeal

IC 219930 under ICR 201411-0910-007 · OMB 0910-0796.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0796 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ENDS_FG_Background Assessment 1.14.2016.docx	Other-Background Assessment
ENDS_FG_Consent Form Adult 1.14.2016.docx	Other-Consent Form Adult
ENDS_FG_Moderator Guide 1.14.2016.docx	Other-Moderator Guide
ENDS_FG_Screener 1.14.2016.docx	Other-Screener
OMB-ENDS Memo.docx Supporting Statement Memo	IC Document

IC Title:

Focus Groups on ENDS: Device Types, User Experiences, and Product Appeal

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-Background Assessment	ENDS_FG_Background Assessment 1.14.2016.docx	No	Paper Only
Other-Consent Form Adult	ENDS_FG_Consent Form Adult 1.14.2016.docx	No	Paper Only
Other-Moderator Guide	ENDS_FG_Moderator Guide 1.14.2016.docx	No	Printable Only
Other-Screener	ENDS_FG_Screener 1.14.2016.docx	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,320

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	4,320	4,320
Annual IC Time Burden (Hours)	912	912
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Memo	OMB-ENDS Memo.docx	02/02/2016

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