Information Collection

2018 FDA Center for Tobacco Products' CTP E-Blast Survey

IC 232659 under ICR 201710-0910-006 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
App_A_CTP_EBLAST_SURVEY_INVITATION_RECRUITMENTEMAIL CLEAN.docx	Other-EBLAST SURVEY INVITATION RECRU
App_B_2018_EBLAST_SURVEY_INSTRUMENT CLEAN.docx	Other-EBLAST SURVEY INSTRUMENT
App_C_CTP_EBLAST_SURVEY_TIMELINE CLEAN.docx	Other-EBLAST SURVEY TIMELINE
App_D_CTP_EBLAST_SURVEY_INFORMED_CONSENT CLEAN.docx	Other-EBLAST_SURVEY INFORMED CONSENT
Memo_0910-0697 FDA Qualitative Feedback Memo Clean.doc 0697_Generic Memo	IC Document

IC Title:

2018 FDA Center for Tobacco Products' CTP E-Blast Survey

Agency IC Tracking Number:

CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-EBLAST SURVEY INVITATION RECRUITMENT EMAI	App_A_CTP_EBLAST_SURVEY_INVITATION_RECRUITMENTEMAIL CLEAN.docx	Yes	Yes	Printable Only
Other-EBLAST SURVEY INSTRUMENT	App_B_2018_EBLAST_SURVEY_INSTRUMENT CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Other-EBLAST SURVEY TIMELINE	App_C_CTP_EBLAST_SURVEY_TIMELINE CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Other-EBLAST_SURVEY INFORMED CONSENT	App_D_CTP_EBLAST_SURVEY_INFORMED_CONSENT CLEAN.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0697_Generic Memo	Memo_0910-0697 FDA Qualitative Feedback Memo Clean.doc	08/13/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.