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Federal forms, ICRs, and supporting documents

Information Collection

Qualitative Study on Acute Nicotine Toxicity Warnings for E-Liquids: Knowledge, Beliefs, and Perceptions

IC 229710 under ICR 201411-0910-007 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Moderator Guide
Other-Adult Screener
Other-Youth Screener
Other-Study Adult Consent
Other-Youth Assent
Other-Parental Permission Form
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Qualitative Study on Acute Nicotine Toxicity Warnings for E-Liquids: Knowledge, Beliefs, and Perceptions CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Moderator Guide Appendix 1._Moderator Guide.docx No   Printable Only
Other-Adult Screener Appendix 2._Adult Screener.docx No   Printable Only
Other-Youth Screener Appendix 3._Youth Screener.docx No   Printable Only
Other-Study Adult Consent Appendix 4._Study Adult Consent.doc No   Paper Only
Other-Youth Assent Appendix 5._Youth Assent.docx No   Paper Only
Other-Parental Permission Form Appendix 6._Parental Permission Form.docx No   Paper Only

Health Consumer Health and Safety

 

2,304 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 2,304 0 2,304 0 0 0
Annual IC Time Burden (Hours) 392 0 392 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RIHSC Approval RIHSC Approval.pdf 01/11/2018
RTI IRB Approval Notice RTI IRB Approval Notice.pdf 01/11/2018
OMB Justification Memo OMB Justification Memo.docx 01/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.