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Federal forms, ICRs, and supporting documents

Information Collection

Qualitative Study on Consumer perceptions of Cigarettes Health Warning Images

IC 229494 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Contact sheet Adolescent
Other-Contact sheet Adult
Other-GHW_Image Focus Groups Adolesc
Other-GHW_Image Focus Groups Adult C
Other-GHW_Image Focus Groups Parent
Other-GHW_Image Focus Groups Screene
Other-GHW_Image Focus Groups Screene
Other-Set 1 Moderator Guide
Other-Set 1 Participant Booklet
Other-Set 2 Moderator Guide
Other-Set 2 Participant Booklet
Other-Set 3 Moderator Guide
Other-Set 3 Participant Booklet
Other-Set 4 Moderator Guide
Other-Set 4 Participant Booklet
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Qualitative Study on Consumer perceptions of Cigarettes Health Warning Images CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Contact sheet Adolescent Contact sheet_Adolescent.docx No   Paper Only
Other-Contact sheet Adult Contact sheet_Adult.docx No   Paper Only
Other-GHW_Image Focus Groups Adolescent Assent Form GHW_Image Focus Groups_Adolescent Assent Form.docx No   Paper Only
Other-GHW_Image Focus Groups Adult Consent Form GHW_Image Focus Groups_Adult Consent Form.docx No   Paper Only
Other-GHW_Image Focus Groups Parent Permission Form GHW_Image Focus Groups_Parent Permission Form.docx No   Paper Only
Other-GHW_Image Focus Groups Screener Adolescent GHW_Image Focus Groups_Screener_Adolescent.docx No   Paper Only
Other-GHW_Image Focus Groups Screener Adults GHW_Image Focus Groups_Screener_Adults.docx No   Paper Only
Other-Set 1 Moderator Guide Set 1 Moderator Guide.docx No   Paper Only
Other-Set 1 Participant Booklet Set 1 Participant Booklet.docx No   Paper Only
Other-Set 2 Moderator Guide Set 2 Moderator Guide.docx No   Paper Only
Other-Set 2 Participant Booklet Set 2 Participant Booklet.docx No   Paper Only
Other-Set 3 Moderator Guide Set 3 Moderator Guide.docx No   Paper Only
Other-Set 3 Participant Booklet Set 3 Participant Booklet.docx No   Paper Only
Other-Set 4 Moderator Guide Set 4 Moderator Guide.docx No   Paper Only
Other-Set 4 Participant Booklet Set 4 Participant Booklet.docx No   Paper Only

Health Consumer Health and Safety

 

2,832 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 2,832 0 2,832 0 0 0
Annual IC Time Burden (Hours) 671 0 671 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FDA Generic Memo FDA Generic Clearance Memo- Cigarettes Health Warning Images.docx 12/19/2017
IRB Approval APPROVAL.PDF 12/19/2017
RIHSC Approval Letter RIHSC approval letter.pdf 12/19/2017
RIHSC Approval Letter - Amend RIHSC approval letter_ Amend.pdf 12/19/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.