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Federal forms, ICRs, and supporting documents

Information Collection

Multicultural Campaign: Wave 3 focus group study of reactions to creative advertising concepts designed to prevent multicultural youth tobacco use

IC 224800 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Check-In Survey
Other-Creative Concept Stimuli
Other-Creative Concept Survey
Other-Moderator Guide
Other-Parental Consent Verbal Script
Other-Parental Consent
Other-Parental Opt Out
Other-Participant Assent Form
Other-Screener
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Multicultural Campaign: Wave 3 focus group study of reactions to creative advertising concepts designed to prevent multicultural youth tobacco use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Check-In Survey Check-In Survey.pdf No   Paper Only
Other-Creative Concept Stimuli Creative Concept Stimuli.pdf No   Printable Only
Other-Creative Concept Survey Creative Concept Survey.pdf No   Printable Only
Other-Moderator Guide Moderator Guide.pdf No   Printable Only
Other-Parental Consent Verbal Script Parental Consent Verbal Script.pdf No   Printable Only
Other-Parental Consent Parental Consent.pdf No   Paper Only
Other-Parental Opt Out Parental Opt Out.pdf No   Paper Only
Other-Participant Assent Form Participant Assent Form.pdf No   Paper Only
Other-Screener Screener.pdf No   Paper Only

Health Consumer Health and Safety

 

720 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 720 0 720 0 0 0
Annual IC Time Burden (Hours) 345 0 345 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0910-0796 OMB Justification Memo 0910-0796 OMB Justification Memo.docx 12/13/2016
Protocol Approval with Modification Notice and Approval Protocol Approval with Modification Notice and Approval Email Dec0216.pdf 12/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.