Information Collection Request

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

ICR 201704-0910-011 · OMB 0910-0753 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0910-0753 Change Request memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-04-21 Available
1 Part A ExPECTT RuSTEC_FINAL.docx Supporting Statement A Uploaded 2016-09-13 Available
2. Part B ExPECTT RuSTEC.docx Supporting Statement B Uploaded 2016-06-09 Available
Suppl 4_E2. Rationale for Changes to ExPECTT Media Tracking.docx Supplementary Document Uploaded 2016-06-09 Available
Suppl 3_E2c. Rationale for Changes to ExPECTT Parent Instrument.docx Supplementary Document Uploaded 2016-06-09 Available
Suppl 3_E2ab. Rationale for Changes to ExPECTT Parent Screener.docx Supplementary Document Uploaded 2016-06-09 Available
Suppl 2_R. Rationale for Changes to Youth Follow-up 2 Instrument RuSTEC.docx Supplementary Document Uploaded 2017-04-20 Available
Suppl 2_E2b. Rationale for Changes to Youth Follow Up Instrument ExPECTT.docx Supplementary Document Uploaded 2016-06-09 Available
Suppl 2_E2a. Rationale for Changes to Youth Baseline Instrument ExPECTT.docx Supplementary Document Uploaded 2016-06-09 Available
Suppl 2_E1. Rationale for Changes to Youth Follow-up Instrument ExPECTT.docx Supplementary Document Uploaded 2016-06-28 Available
Attachment 9. Privacy and Data Security.doc Supplementary Document Uploaded 2016-06-09 Available
Attachment 5. Incentives.doc Supplementary Document Uploaded 2016-06-09 Available
Attachment 4. Rationale for Conducting Media Tracking.docx Supplementary Document Uploaded 2016-06-09 Available
Attachment 2a. Rationale for Outcome Evaluation Measures.doc Supplementary Document Uploaded 2016-06-09 Available
Attachment 1. FSPTCA.pdf Supplementary Document Uploaded 2016-06-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222024 Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire Other-Youth Follow-up Instrument ExPECTT Unchanged
222019 Cohort 2--Youth Baseline Questionnaire Other-Youth Baseline Instrument ExPECTT Unchanged
208714 Media Tracking Questionnaires 1st, 2nd and; 3rd Other-Media Tracking Instrument ExPECTT Unchanged
208713 Media Tracking Screener Other-Media Tracking Screener ExPECTT Unchanged
208712 Parent Of Youth Baseline Survey Participants Other-Email Reminder 3 ExPECTT Modified
208711 Youth 1st, 2nd, and; 3rd (Male, Rural Smokeless) follow up questionnaire Other-Youth Followup1 Instrument (male rural smokeless) Modified
208710 Youth Baseline Questionnaire (Male Rural Smokeless) Other-Youth Baseline Modified
208709 Youth 1st, 2nd, 3rd Follow-Up Questionnaire (Experimenter and Non-Trier) Other-Youth Assent under 18 ExPECTT Unchanged
208708 Youth Baseline Questionnaire (Experimenter and Non-Trier) Other-Youth Assent under 18 ExPECTT Unchanged
208707 General Population Screener and Consent Process (Youth and Parent) Other-Parent Guardian Tablet Screener ExPECTT Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2019 09/30/2019 09/30/2019
122,717 0 122,717
25,208 0 25,208
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 122,717 122,717 0 0 0 0
Annual Time Burden (Hours) 25,208 25,208 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No