Information Collection

2019 FDA Center for Tobacco Products' CTP E-Blast Survey

IC 238020 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A - Invitation Email Announcement.docx	Other-Invitation Email Announcement
Appendix B - Survey Instrument.docx	Other-Survey Instrument
Appendix C - Timeline.docx	Other-Timeline
Appendix D - Informed Consent.docx	Other-Informed Consent
0697 OMB Approval Memo for FDA CTP E-Blast Survey 2019.docx OMB Approval Memo	IC Document
CTP RIHSC-HSP Liaison Approval Notification for Sponsor.DOCX Liaison Apprvoal Notification to Sponsor	IC Document

IC Title:

2019 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-Invitation Email Announcement	Appendix A - Invitation Email Announcement.docx	Yes	Yes	Printable Only
Other-Survey Instrument	Appendix B - Survey Instrument.docx	Yes	Yes	Fillable Fileable Signable
Other-Timeline	Appendix C - Timeline.docx	Yes	Yes	Fillable Fileable Signable
Other-Informed Consent	Appendix D - Informed Consent.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
OMB Approval Memo	0697 OMB Approval Memo for FDA CTP E-Blast Survey 2019.docx	10/07/2019
Liaison Apprvoal Notification to Sponsor	CTP RIHSC-HSP Liaison Approval Notification for Sponsor.DOCX	10/07/2019

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