Developing Strategic Concepts Designed to Prevent AI/AN Youth Tobacco Use

Focus Groups as Used by the Food and Drug Administration

OMB: 0910-0497

IC ID: 231650

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Developing Strategic Concepts Designed to Prevent AI/AN Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Attachment A - Screener with Recruiter Notes.pdf No   Printable Only
Other-Parent Guardian Permission Form Attachment B - Parent Guardian Permission Form.pdf No   Paper Only
Other-Parental Permission Verbal Script Attachment C - Parental Permission Verbal Script.pdf No   Printable Only
Other-Participant Assent Attachment D - Participant Assent.pdf No   Paper Only
Other-Moderator Guide Attachment E - Moderator Guide.pdf No   Printable Only
Other- Individual Picture Sort Deck Attachment F - Individual Picture Sort Deck.pdf Yes No Printable Only
Other-Check-In Survey Attachment G - Check-In Survey.pdf No   Paper Only
Other-ID Projection Attachment H - ID Projection.pdf Yes No Printable Only
Other-Video Stimuli Attachment I - Video Stimuli.pdf Yes No Printable Only

Health Consumer Health and Safety

 

672 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 672 0 672 0 0 0
Annual IC Time Burden (Hours) 322 0 322 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AIAN SC OMB Memo AIAN SC OMB Memo.docx 06/05/2018
IRB Letter Attachment J - IRB Letter.pdf 06/05/2018
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