Pilot of in-person Recruitment

Food and Drug Administration's Research and Evaluation Survey for the Public Education Campaign on Tobacco among LGBT (RESPECT)

OMB: 0910-0808

IC ID: 218381

Documents and Forms
Document Name
Document Type
Other-Script for Recruiting Particip
Other-Screener Informed Consent
Other-Screener
Information Collection (IC) Details

View Information Collection (IC)

Pilot of in-person Recruitment
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Attachment3_Screener.docx Yes Yes Fillable Fileable
Other-Script for Recruiting Participants Attachment8_ScriptforRecruitingInterceptParticipants.docx No   Printable Only
Other-Screener Informed Consent Attachment5_ScreenerInformedConsent.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

27 0
   
Individuals or Households
 
   90 %

  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 27 0 0 0 0 27
Annual IC Time Burden (Hours) 2 0 0 0 0 2
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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