Cohort 2--Youth Baseline Questionnaire

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

OMB: 0910-0753

IC ID: 222019

Documents and Forms
Document Name
Document Type
Other-Youth Baseline Instrument ExPE
Other-Youth Assent under 18 ExPECTT
Information Collection (IC) Details

View Information Collection (IC)

Cohort 2--Youth Baseline Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Youth Baseline Instrument ExPECTT Attachment 2_E2a. Youth Baseline Instrument ExPECTT.doc Yes Yes Fillable Fileable
Other-Youth Assent under 18 ExPECTT Attachment 6_E2c. Youth Assent under 18 ExPECTT.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,667 0
   
Individuals or Households
 
   100 %

  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 2,667 0 0 2,667 0 0
Annual IC Time Burden (Hours) 2,000 0 0 2,000 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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