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Federal forms, ICRs, and supporting documents

Information Collection

General Market Campaign: Wave 3 Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use

IC 222129 under ICR 201802-0910-012 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Parental Consent Opt-Out Form
Other-- Youth Assent Form
Other-Screener
Other-Copy Testing Questionnaire
Other-Advertisement Stimuli
Other-Email Scripts
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

General Market Campaign: Wave 3 Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parental Consent Opt-Out Form Attachment A - Parental Consent_Opt-Out Form.docx No   Paper Only
Other-- Youth Assent Form Attachment B - Youth Assent Form.docx Yes Yes Fillable Fileable
Other-Screener Attachment C - Screener.docx Yes Yes Fillable Fileable
Other-Copy Testing Questionnaire Attachment D - Copy Testing Questionnaire.docx No   Paper Only
Other-Advertisement Stimuli Attachment E - Advertisement Stimuli.docx No   Paper Only
Other-Email Scripts Attachment F - Email Scripts.docx Yes No Printable Only

Health Consumer Health and Safety

 

10,336 0
   
Individuals or Households
 
   90 %

  Requested 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 10,336 0 0 0 0 10,336
Annual IC Time Burden (Hours) 969 0 0 0 0 969
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Part A - Quantitative Supporting Statement (General Market) Part A - Quantitative Supporting Statement (General Market).docx 06/23/2016
Part B - Quantitative Supporting Statement (General Market) Part B - Quantitative Supporting Statement (General Market).docx 06/23/2016
IRB Approval Attachment G - IRB Approval.pdf 06/23/2016
Recruitment Locations Copy of Attachment H - Recruitment Locations.xlsx 06/23/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.