Information Collection Request

Evaluation of the Food and Drug Administration’s Point-of-Sale Campaign

ICR 201710-0910-015 · OMB 0910-0851 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Stimuli Graphics.pdf Supplementary Document Uploaded 2018-04-23 Available
FDA POS Markets 15 Control 15 Treatment 2.13.2018 MAP and CHART.PPTX Supplementary Document Uploaded 2018-04-23 Available
0. POSITEv SS Part A.docx Supporting Statement A Uploaded 2017-10-27 Available
IRB Letter.pdf Supplementary Document Uploaded 2017-10-27 Available
0. POSITEv SS Part B.doc Supporting Statement B Uploaded 2017-10-27 Available
Attachment_12_Privacy_and_Data_Security Clean.doc Supplementary Document Uploaded 2018-04-23 Repair queued
Attachment_11_Justification_of_Incentives.doc Supplementary Document Uploaded 2017-10-27 Available
Attachment_10_Field_Interviewer_Confidentiality_Agreement.doc Supplementary Document Uploaded 2017-10-27 Repair queued
Attachment_9d_Invitation_Email_and_Text_for_Waves_2_3_4.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_9c_Panel_Maintenance_Letter.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_9b_Appointment_Card_for_Waves_2_3_4.pptx Supplementary Document Uploaded 2017-10-27 Repair queued
Attachment_9a_lead_letter_waves_2_3_4.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_8_Incentive_Receipt.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_7_Study_Questions_and_Answers.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_6b_Notifications.doc Supplementary Document Uploaded 2017-10-27 Available
Attachment_6a_Sorry_I_Missed_You_Card.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_5d_Letter_for_incentive_check_waves_2_3_4.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_05c_reminder_letter_for_mail_screener Clean.docx Supplementary Document Uploaded 2018-04-23 Available
Attachment_5b_Thank_You_Reminder_Postcard.docx Supplementary Document Uploaded 2017-10-27 Available
Attachment_05a_cover_letter_for_mail_screener Clean.docx Supplementary Document Uploaded 2018-04-23 Available
Attachment_04d_app-based_notifications_and_messages clean.docx Supplementary Document Uploaded 2018-04-23 Available
Attachment_04c_Rationale_for_App-based_data_collection Clean.docx Supplementary Document Uploaded 2018-04-23 Available
Attachment_04b_POSITEv_App_download_instructions Clean.docx Supplementary Document Uploaded 2018-04-23 Repair queued
Attachment_2c_Rationale_for_Outcome_Evaluation_Measures.docx Supplementary Document Uploaded 2017-10-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228809 Study Participants (opt in) Other-App-based Data Collection Consent Script New
228808 Adult smokers ages 25 to 54; Telephone Verification, Questionnaires 1 - 4 Other-Telephone Verification Survey New
228807 Adult smokers ages 25 to 54; Wave 2 - 4 Questionnaires Other-Wave 2, 3, 4 Conset Form New
228781 Adult smokers ages 25 to 54; Wave 1 Questionnaire Other-Wave 1 Evaluation Consent New
228780 Households (adults 18 and up); Telephone Verification, Field Screener Other-Telephone Verification Survey New
228779 Households (adults 18 and up); Field Screener Other-Field Screener New
228778 Households (adults 18 and up); Mail screener Other-Mail Screener New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved
25,811 0 0
6,258 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,811 0 0 25,811 0 0
Annual Time Burden (Hours) 6,258 0 0 6,258 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No