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Federal forms, ICRs, and supporting documents

Information Collection

Point-of-Sale Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Encourage Adult Smokers to Quit Smoking

IC 223487 under ICR 201802-0910-012 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Informed Consent Form
Other-Screener
Other-Copy Testing Questionnaire
Other-Advertisement Stimuli 1
Other-Advertisement Stimuli 2
Other-Recruitment Email Script
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Point-of-Sale Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Encourage Adult Smokers to Quit Smoking CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Informed Consent Form Attachment A_Informed Consent Form.docx Yes Yes Fillable Fileable
Other-Screener Attachment B_Screener.docx Yes Yes Fillable Fileable
Other-Copy Testing Questionnaire Attachment C_Copy Testing Questionnaire.docx Yes Yes Fillable Fileable
Other-Advertisement Stimuli 1 Attachment D_ Advertisement Stimuli 1.pdf No   Printable Only
Other-Advertisement Stimuli 2 Attachment D_ Advertisement Stimuli 2.pdf No   Printable Only
Other-Recruitment Email Script Attachment F_Recruitment Email Script.docx Yes No Printable Only

Health Consumer Health and Safety

 

8,816 0
   
Individuals or Households
 
   0 %

  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 8,816 0 0 0 0 8,816
Annual IC Time Burden (Hours) 1,305 0 0 0 0 1,305
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Part A - Quantitative Supporting Statement (POS Campaign) Part A - Quantitative Supporting Statement (POS Campaign).docx 09/19/2016
Part B - Quantitative Supporting Statement (POS Campaign) Part B - Quantitative Supporting Statement (POS Campaign).docx 09/19/2016
IRB Approval Letter Attachment E_IRB Approval Letter.pdf 09/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.