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Information Collection

The Real Cost Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use

IC 231334 under ICR 201802-0910-012 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-TRC Copy Testing Youth Screene
Other-TRC Copy Testing Adult Screene
Other-TRC Copy Testing Youth Questio
Other-TRC Copy Testing Adult Questio
Other-TRC Copy Testing Parental Noti
Other-TRC Copy Testing Youth Assent
Other-TRC Copy Testing Adult Partici
Other-TRC Copy Testing Stimuli.
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

The Real Cost Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-TRC Copy Testing Youth Screener A TRC Copy Testing Youth Screener.docx Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Adult Screener B TRC Copy Testing Adult Screener.docx Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Youth Questionnaire C TRC Copy Testing Youth Questionnaire.docx Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Adult Questionnaire D TRC Copy Testing Adult Questionnaire.docx Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Parental Notification and Opt-Out E TRC Copy Testing Parental Notification and Opt-Out.docx No   Printable Only
Other-TRC Copy Testing Youth Assent Form F TRC Copy Testing Youth Assent Form.doc Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Adult Participant Consent Form G TRC Copy Testing Adult Participant Consent Form.doc Yes Yes Fillable Fileable Signable
Other-TRC Copy Testing Stimuli. H TRC Copy Testing Stimuli.docx No   Printable Only

Health Consumer Health and Safety

 

17,000 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 17,000 0 17,000 0 0 0
Annual IC Time Burden (Hours) 1,732 0 1,732 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
TRC IRB Letter I TRC IRB Letter.pdf 05/04/2018
TRC Copy Testing Memo Part A TRC Copy Testing Part A.docx 05/04/2018
TRC Copy Testing Memo Part B TRC Copy Testing Part B.docx 05/04/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.