Longitudinal Cohort Youth Post-Test Outcome Survey

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

OMB: 0910-0788

IC ID: 215944

Documents and Forms
Document Name
Document Type
Other-Post Campaign Instrument.
Other-Outcome Parent Lead Letter Lon
Other-Parent Second Mailing
Other-Unable to Contact Letters
Other-Verification Call Script
Information Collection (IC) Details

View Information Collection (IC)

Longitudinal Cohort Youth Post-Test Outcome Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Campaign Instrument. Attachment 1_ Post Campaign Instrument.docx Yes Yes Fillable Fileable
Other-Outcome Parent Lead Letter Longitudinal Attachment 8a_Outcome Parent Lead Letter Longitudinal.docx No   Paper Only
Other-Parent Second Mailing Attachment 10_Parent Second Mailing.docx No   Paper Only
Other-Unable to Contact Letters Attachment 13_Unable to Contact Letters.docx No   Paper Only
Other-Verification Call Script Attachment 17_Verification Call Script.docx No   Printable Only

Health Consumer Health and Safety

 

4,095 0
   
Individuals or Households
 
   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 4,095 0 -741 0 0 4,836
Annual IC Time Burden (Hours) 3,072 0 2,992 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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