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Panel Replenishment Baseline and Enrollment Survey
NATIONAL PANEL OF TOBACCO CONSUMER STUDIES
OMB: 0910-0815
IC ID: 216701
OMB.report
HHS/FDA
OMB 0910-0815
ICR 201505-0910-005
IC 216701
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0815 can be found here:
2020-04-28 - No material or nonsubstantive change to a currently approved collection
2019-05-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment_3_RESPONDENT MATERIALS ENGLISH LANGUAGE VERSIONS.pdf
Other-Respondent Materials - English
Attachment_4_RESPONDENT MATERIALS SPANISH LANGUAGE VERSIONS.pdf
Other-Respondent Materials - Spanish
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Panel Replenishment Baseline and Enrollment Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-Respondent Materials - English
Attachment_3_RESPONDENT MATERIALS ENGLISH LANGUAGE VERSIONS.pdf
No
Printable Only
Other-Respondent Materials - Spanish
Attachment_4_RESPONDENT MATERIALS SPANISH LANGUAGE VERSIONS.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,848
0
1,848
0
0
0
Annual IC Time Burden (Hours)
462
0
462
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.