Longitudinal Cohort Youth Post-Test Outcome Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0788 can be found here:

Documents and Forms

Document Name Document Type
Attachment 1_Post Campaign Instrument_FU3.docx Other-Post Campaign Instrument.
Attachment 8a_Outcome Parent Lead Letter_Longitudinal_FU3.docx Other-Outcome Parent Lead Letter Lon
Attachment 10_Parent Second Mailing.docx Other-Parent Second Mailing
Attachment 13_Unable to Contact Letters_FU3.docx Other-Unable to Contact Letters
Attachment 17_Verification Call Script_Age 13-17.docx Other-Verification Call Script
Attachment 17a_Verification Call Script Age 18_NEW.docx Other-Verification Call Script Age 1

Information Collection (IC) Details

IC Title:	Longitudinal Cohort Youth Post-Test Outcome Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Post Campaign Instrument.	Attachment 1_Post Campaign Instrument_FU3.docx	Yes	Yes	Fillable Fileable
Other-Outcome Parent Lead Letter Longitudinal	Attachment 8a_Outcome Parent Lead Letter_Longitudinal_FU3.docx	No		Paper Only
Other-Parent Second Mailing	Attachment 10_Parent Second Mailing.docx	No		Paper Only
Other-Unable to Contact Letters	Attachment 13_Unable to Contact Letters_FU3.docx	No		Paper Only
Other-Verification Call Script	Attachment 17_Verification Call Script_Age 13-17.docx	No		Printable Only
Other-Verification Call Script Age 18	Attachment 17a_Verification Call Script Age 18_NEW.docx	No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,839	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,839	387	4,452
Annual IC Time Burden (Hours)	3,630	290	3,340
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.