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Federal forms, ICRs, and supporting documents

Information Collection

American Indian/Alaska Native Campaign: Focus Group Study of Reactions to Strategic Concepts Designed to Prevent Youth Tobacco Use

IC 221172 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Youth Focus Group information
Other-Youth Discussion Guide
Other-Adult Discussion Guide
Other-Informed Consent Form
Other-Youth Assent
Other-Adult Focus Group Information
Other-Adult Recruit Script Screener
Other-Youth Recruit Script Screener
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

American Indian/Alaska Native Campaign: Focus Group Study of Reactions to Strategic Concepts Designed to Prevent Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Adult Recruit Script Screener Appendix G Adult Recruit Script Screener.docx No   Paper Only
Other-Youth Recruit Script Screener Appendix H Youth Recruit Script Screener.docx No   Paper Only
Other-Youth Focus Group information Appendix A Youth FG info.docx No   Paper Only
Other-Youth Discussion Guide Appendix B 1 Youth Discussion Guide.docx No   Paper Only
Other-Adult Discussion Guide Appendix B 2 Adult Disc Guide.docx No   Paper Only
Other-Informed Consent Form Appendix C Informed_Consent_Form.docx No   Paper Only
Other-Youth Assent Appendix D Youth Assent.docx No   Paper Only
Other-Adult Focus Group Information Appendix E Adult FG info.docx No   Paper Only

Health Consumer Health and Safety

 

580 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 580 0 580 0 0 0
Annual IC Time Burden (Hours) 508 0 508 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AI-AN OMB Memo AI-AN OMB Memo.docx 04/26/2016
Sample Data Sharing Agreement Appendix F Sample Data Sharing Agreement.docx 04/26/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.