OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Wave 3 Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Multicultural Youth Tobacco Use

IC 230877 under ICR 201802-0910-012 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Questionnaire
Other-Parental Opt-Out Form
Other-Participant Youth Assent-Conse
Other-Parent_Participant Electronic
Other-Video Ad Stimuli
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Wave 3 Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Multicultural Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Attachment A - Screener.docx Yes Yes Fillable Fileable Signable
Other-Questionnaire Attachment B - Questionnaire.docx Yes Yes Fillable Fileable Signable
Other-Parental Opt-Out Form Attachment C - Parental Opt-Out Form.docx No   Paper Only
Other-Participant Youth Assent-Consent Form Attachment D - Participant Youth Assent-Consent Form.docx No   Paper Only
Other-Parent_Participant Electronic Communications Attachment E - Parent_Participant Electronic Communications.docx Yes Yes Fillable Fileable Signable
Other-Video Ad Stimuli Attachment F - Video Ad Stimuli.pdf Yes No Printable Only

Health Consumer Health and Safety

 

9,695 0
   
Individuals or Households
 
   100 %

  Approved 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 9,695 0 9,695 0 0 0
Annual IC Time Burden (Hours) 1,376 0 1,376 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Memo SS Part A FE CT Wave 3_OMB SS Part A.docx 03/30/2018
Generic Memo Part B FE CT Wave 3_OMB SS Part B.docx 03/30/2018
IRB Approval Letter Attachment G - IRB Approval Letter.pdf 03/30/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.