Outcome Baseline via Social Media

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

OMB: 0910-0808

IC ID: 218385

Documents and Forms
Document Name
Document Type
Other-Web Survey Informed Consent
Other-Baseline Web Survey
Information Collection (IC) Details

View Information Collection (IC)

Outcome Baseline via Social Media
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web Survey Informed Consent Attachment6_WebSurveyInformedConsent.docx Yes Yes Fillable Fileable
Other-Baseline Web Survey Attachment 1_BaselineWebSurvey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

263 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 263 0 0 0 0 263
Annual IC Time Burden (Hours) 131 0 0 0 0 131
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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