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Federal forms, ICRs, and supporting documents

Information Collection

Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

IC 220770 under ICR 201411-0910-008 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Attachment A - Invitation and
Other-Attachment B - Invitation and
Other-Screener
Other-Survey
Other-Facts to be Tested
Other-Privacy Protections Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A - Invitation and Parental Permission Form Attachment A - Invitation and Parental Permission Form.docx Yes Yes Fillable Fileable
Other-Attachment B - Invitation and Youth Assent Form Attachment B - Invitation and Youth Assent Form.docx Yes Yes Fillable Fileable
Other-Screener Attachment C - Screener.docx Yes Yes Fillable Fileable
Other-Survey Attachment D - Survey.docx Yes Yes Fillable Fileable
Other-Facts to be Tested Copy of Attachment E - Facts to be Tested.xls No   Printable Only
Other-Privacy Protections Document GfK-Privacy-Protections-Doc.pdf No   Printable Only

Health Consumer Health and Safety

 

6,251 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 6,251 0 6,251 0 0 0
Annual IC Time Burden (Hours) 1,746 0 1,746 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging) Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx 03/24/2016
Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging) Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx 03/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.