Media Tracking Screener

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Document Name Document Type
12 Attachment 4_Media Tracking Screener and Instrument 0910-0753.doc Other-Media Tracking Screener
13 Rationale for Item Changes to the ExPECTT Media Tracking Instrument 0901-0753.docx Other-Rationale for Item Changes to

Information Collection (IC) Details

IC Title:	Media Tracking Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Media Tracking Screener			12 Attachment 4_Media Tracking Screener and Instrument 0910-0753.doc		Yes	No	Printable Only
Other-Rationale for Item Changes to Media Tracking Instrument			13 Rationale for Item Changes to the ExPECTT Media Tracking Instrument 0901-0753.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 39,999	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	39,999	39,999
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.