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2018 FDA Center for Tobacco Products' CTP E-Blast Survey
Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 232659
OMB.report
HHS/FDA
OMB 0910-0697
ICR 201710-0910-006
IC 232659
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:
2023-11-28 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
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
800
0
800
0
0
0
Annual IC Time Burden (Hours)
67
0
67
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.