Information Collection

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

IC 215948 under ICR 201504-0910-001 · OMB 0910-0788.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.