OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Point-of-Sale Creative Concept Testing – Focus Groups with Current Adult Smokers

IC 220637 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Consent Form
Other-Participant Rating Worksheet
Other-Discussion Guide
Other-Quit Journey Worksheet
Other-Stimuli
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Point-of-Sale Creative Concept Testing – Focus Groups with Current Adult Smokers CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener POS Creative Concept Testing_Screener.docx Yes No Fillable Printable
Other-Consent Form POS Creative Concept Testing_Consent Form.docx No   Paper Only
Other-Participant Rating Worksheet POS Creative Concept Testing_Participant Rating Worksheet.pdf No   Paper Only
Other-Discussion Guide POS Creative Concept Testing_Discussion Guide.docx No   Printable Only
Other-Quit Journey Worksheet POS_Quit Journey Worksheet.docx No   Printable Only
Other-Stimuli POS Stimuli.pdf Yes No Printable Only

Health Consumer Health and Safety

 

512 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 512 0 512 0 0 0
Annual IC Time Burden (Hours) 278 0 278 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Memo POS Creative Concept Testing_OMB Memo.doc 03/16/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.