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
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 Repair queued
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 Repair queued
Attachment_9c_Panel_Maintenance_Letter.docx Supplementary Document Uploaded 2017-10-27 Repair queued
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 Repair queued
Attachment_8_Incentive_Receipt.docx Supplementary Document Uploaded 2017-10-27 Repair queued
Attachment_7_Study_Questions_and_Answers.docx Supplementary Document Uploaded 2017-10-27 Repair queued
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 Repair queued
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 Repair queued
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 Repair queued
Attachment_04d_app-based_notifications_and_messages clean.docx Supplementary Document Uploaded 2018-04-23 Repair queued
Attachment_04c_Rationale_for_App-based_data_collection Clean.docx Supplementary Document Uploaded 2018-04-23 Repair queued
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 Repair queued
IC Document Collections
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
0910-0851 201710-0910-015
Historical Active
HHS/FDA CTP
Evaluation of the Food and Drug Administration’s Point-of-Sale Campaign
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/24/2018
Retrieve Notice of Action (NOA) 10/31/2017
Approved consistent with the understanding that HHS/FDA will clarify the applicability of its privacy responsibilities, described in OMB circular A-130 and 5 USC §552a(e)(3), to this information collection.  FDA/CTP will document the reasons it has determined that a Privacy Act system records notice, Privacy Act statement, and privacy impact assessment are or are not required, and submit such documentation as deemed necessary to OMB as a change request within 6 months of the date of approval for the current ICR.
  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

The Food and Drug Administration (FDA) requests a 3-year Office of Management and Budget (OMB) approval to conduct mail, in-person, online, and smartphone app-based questionnaires of adults in targeted areas of the United States. These questionnaires will be fielded for purposes of evaluating the FDA’s point-of-sale (store-based) campaign. After screening by mail and in person, the primary outcome evaluation will consist of four longitudinal in-person and online questionnaires over 24 months (approximately every 7 months). In addition, a smartphone-based app will collect passive exposure to the campaign using geolocation technology. The app will also include a brief questionnaire that assesses campaign exposure, intentions to use tobacco, and tobacco-related attitudes and beliefs 3 times over 18 months (approximately every 6 months). Data from this evaluation will be used to gauge campaign awareness and examine the statistical relationships between exposure to the campaign and the outcome variables of interest among current smokers between the ages of 25 and 54.

None
None

Not associated with rulemaking

  81 FR 80075 11/15/2016
82 FR 49834 10/27/2017
Yes

  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
Yes
Miscellaneous Actions
No
New collection

$9,398,395
No
    No
    No
No
No
No
Uncollected
Amber Sanford 301 796-8867 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/31/2017