Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.

ICR 201504-0910-001

OMB: 0910-0788

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2015-05-21
Supporting Statement B
2015-05-21
IC Document Collections
IC ID
Document
Title
Status
216679 New
216678 New
216677 New
216676 New
216675 New
216672 New
216669 New
216668 New
216667 New
215952 New
215951 New
215950 New
215948 New
215947 New
215945 New
215944 New
215943 New
215942 New
215941 New
ICR Details
0910-0788 201504-0910-001
Historical Active
HHS/FDA CTP
Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/22/2015
Retrieve Notice of Action (NOA) 04/15/2015
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved
106,648 0 0
13,678 0 0
0 0 0

The Food and Drug Administration (FDA) requests Office of Management and Budget (OMB) approval to conduct in-person and Web-based surveys of multicultural youth in the United States, as the Evaluation of the Fresh Empire Campaign on Tobacco (EFECT). These surveys will be fielded for purposes of evaluating FDA's Fresh Empire public education campaign for multicultural youth 12 to 17 years old. The primary outcome evaluation will consist of a pre-test survey and ongoing cross-sectional surveys beginning approximately 3 months following the campaign launch. Data from this evaluation will be used to gauge campaign awareness and examine the statistical relationships between exposure to the campaign and changes in outcome variables of interest.

PL: Pub.L. 111 - 31 1003(d)(2)(D) Name of Law: Federal Food, Drug, and Cosmetic Act
  
None

Not associated with rulemaking

  80 FR 230 01/05/2015
80 FR 19673 04/13/2015
No

19
IC Title Form No. Form Name
Multicultural Youth aged 12-17 in select media markets - Pre-test outcome evaluation survey
Youth aged 12 to 17 in the United States - Screener and Consent Process-Pre-test outcome survey
Youth aged 12 to 17 in the United States - Screener and Consent Process- first post-test outcome survey
Adults 18 and older in the United States - Screener and Consent Process- first post-test outcome survey
Longitudinal Cohort - First post-test evaluation survey
Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Pre-test online screener
Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Post-test online survey
Adults 18 and older in the United States - Screener and Consent Process-Pre-test outcome survey
Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Pre-test online survey
Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Post-test online screener
Longitudinal Cohort Second post-test evaluation survey
Cross-Sectional Cohort First post-test evaluation survey
Cross-Sectional Cohort Second post-test evaluation survey
Youth aged 12 to 17 in the United States - Screener and Consent Process- second post-test outcome survey
Youth aged 12 to 17 in the United States - Screener and Consent Process- Third post-test outcome survey
Adults 18 and older in the United States - Screener and Consent Process- second post-test outcome survey
Adults 18 and older in the United States - Screener and Consent Process- third post-test outcome survey
Longitudinal Cohort Third post-test evaluation survey
Cross-Sectional Cohort Second post-test evaluation survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 106,648 0 0 106,648 0 0
Annual Time Burden (Hours) 13,678 0 0 13,678 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New collection

$8,037,087
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Amber Sanford 301 796-8867 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/15/2015


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