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Federal forms, ICRs, and supporting documents

Information Collection

The Real Cost Smokeless: Wave 2 Focus Group Study of Reactions to Creative Advertising Concepts Designed to Prevent Rural Youth Tobacco Use

IC 229406 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Parent-Guardian Permission For
Other-Parent-Guardian Opt-out Form
Other-Youth Assent Form
Other-Discussion Guide
Other-Study Stimuli
Other-Concept Rating Worksheet
Other-Concept Ranking Worksheet
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

The Real Cost Smokeless: Wave 2 Focus Group Study of Reactions to Creative Advertising Concepts Designed to Prevent Rural Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Attachment A - Screener.docx Yes Yes Fillable Printable
Other-Parent-Guardian Permission Form Attachment B1- Parent-Guardian Permission Form.docx No   Paper Only
Other-Parent-Guardian Opt-out Form Attachment B2- Parent-Guardian Opt-out Form.docx No   Paper Only
Other-Youth Assent Form Attachment C - Youth Assent Form.docx No   Paper Only
Other-Discussion Guide Attachment D - Discussion Guide.docx No   Paper Only
Other-Study Stimuli Attachment E- Study Stimuli.docx No   Printable Only
Other-Concept Rating Worksheet Attachment F - Concept Rating Worksheet.docx No   Paper Only
Other-Concept Ranking Worksheet Attachment G - Concept Ranking Worksheet.docx No   Paper Only

Health Consumer Health and Safety

 

576 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 576 0 576 0 0 0
Annual IC Time Burden (Hours) 276 0 276 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Memo Smokeless W2 OMB Memo.docx 12/11/2017
IRB Letter Attachment H - IRB Letter.pdf 12/11/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.