Cross-Sectional Youth Refresher Sample, Post-test and Assent/Consent Process - Outcome Surveys 1-5

Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.

OMB: 0910-0788

IC ID: 215945

Information Collection (IC) Details

View Information Collection (IC)

Cross-Sectional Youth Refresher Sample, Post-test and Assent/Consent Process - Outcome Surveys 1-5
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Campaign Instrument Attachment 01_Post Campaign Instrument_FU4.docx Yes Yes Fillable Fileable
Other-Verification Call Script Attachment 17_Verification Call Script_Age 13-17.docx No   Printable Only
Other-Informed Consent Longitudinal Age 18 (Household) Attachment 05b_Informed Consent_Longitudinal Age 18_Household_FU4.docx No   Paper Only
Other-Parental Permission Youth Assent Cross Sectional Age 12 - 17 (Household) Attachment 05_Parental Permission_Youth Assent_Cross Sectional_Age 12 - 17_Household_FU4.docx No   Fillable Printable
Other-Youth Assent Cross Sectional Age 15 - 17 Social Media (Web) Attachment 05e_Youth Assent_Cross Sectional Age 15 - 17_Social Media_Web_FU4.docx Yes Yes Fillable Printable
Other-Youth Assent Cross Sectional Age 13 - 14 Social Media (Web) Attachment 05f_Youth Assent_Cross Sectional Age 13 - 14_Social Media_Web_FU4.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

4,920 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 4,920 0 0 3,000 0 1,920
Annual IC Time Burden (Hours) 3,690 0 0 2,250 0 1,440
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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