Adult Mail Screener and Consent Process for Outcome Survey

Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.

OMB: 0910-0788

IC ID: 215942

Documents and Forms
Document Name
Document Type
Other-Outcome Mail Screener
Other-Informed Consent and Assent
Other-Outcome Parent Lead Letter
Other-Longitudinal Informed Consent
Information Collection (IC) Details

View Information Collection (IC)

Adult Mail Screener and Consent Process for Outcome Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Outcome Mail Screener Attachment 2_Outcome Mail Screener.docx No   Printable Only
Other-Informed Consent and Assent Attachment 5_Informed Consent and Assent.docx No   Printable Only
Other-Outcome Parent Lead Letter Attachment 8a_Outcome Parent Lead Letter_Longitudinal_FU3.docx No   Paper Only
Other-Longitudinal Informed Consent and Assent Attachment 5a_Parental Permission_Youth Assent_Longitudinal Age 12- 17_Household_FU3.docx No   Printable Only

Health Consumer Health and Safety

 

20,336 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 20,336 0 0 0 0 20,336
Annual IC Time Burden (Hours) 338 0 0 0 0 338
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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