Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Pre-test online screener

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0788 can be found here:

Documents and Forms

Document Name Document Type
Attachment 6_Study Description.doc Other-Study Description
Attachment 10_Parent Second Mailing.doc Other-Parent Second Mailing
Attachment 11_Welcome to the Study Letter.docx Other-Welcome to the Study Letter
Attachment 12 _Sorry I Missed You Card.docx Other-Sorry I missed you card
Attachment 13_Unable to Contact Letters.doc Other-Unable to Contact Letters
Attachment 14a_Questions and Answers Fact Sheet.doc Other-Questions and Answers Fact She
Attachment 14b_Questions and Answers Fact Sheet.doc Other-b. Questions and Answers Fact
Attachment 15_Interview Incentive Receipt.docx Other-Interview Incentive Receipt

Information Collection (IC) Details

IC Title:	Multicultural youth aged 13-17 in the select media markets recruiting through social media and online panels - Pre-test online screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-b. Questions and Answers Fact Sheet	Attachment 14b_Questions and Answers Fact Sheet.doc	No	Printable Only
Other-Interview Incentive Receipt	Attachment 15_Interview Incentive Receipt.docx	No	Printable Only
Other-Study Description	Attachment 6_Study Description.doc	No	Printable Only
Other-Parent Second Mailing	Attachment 10_Parent Second Mailing.doc	No	Printable Only
Other-Welcome to the Study Letter	Attachment 11_Welcome to the Study Letter.docx	No	Printable Only
Other-Sorry I missed you card	Attachment 12 _Sorry I Missed You Card.docx	No	Printable Only
Other-Unable to Contact Letters	Attachment 13_Unable to Contact Letters.doc	No	Printable Only
Other-Questions and Answers Fact Sheet	Attachment 14a_Questions and Answers Fact Sheet.doc	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	625	625
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.