Change Request Memo

Research and Evaluation Survey for the Public Education Campaign on Tobacco (RESPECT) (OMB Control No. 0910-0808)

Change Request

July 13, 2018

The Food and Drug Administration is submitting this nonmaterial/non-substantive change request (83-C) to add a Follow-up 5 to our data collection schedule and refine the data collection documents for Follow-up 5. Follow-Up 5 is scheduled for October through December 2018. During this follow-up data collection effort, we will continue to re-contact participants and recruit new respondents to offset attrition. OMB previously concurred with the submission of this change request.

The Research and Evaluation Survey for the Public Education Campaign on Tobacco (RESPECT) among Lesbian, Gay, Bisexual, and Transgender (LGBT) Young Adults is a longitudinal survey designed to measure awareness of and exposure to the This Free Life tobacco public education campaign and assess its impact on outcome variables of interest.

We request changes to the following documents:

• Supporting Statement Part A

• Supporting Statement Part B

• Survey Instrument (Attachment 2)

• New Participant Screener Instruments (Attachment 3)

• Emails to Respondents (Attachment 11)

• Longitudinal Screener (Attachment 13)

The following supporting documents are being submitted with this change request:

• Rationale for Item Changes to Follow-up Instrument FU5

• Video Storyboards FU5

Contents of the Change Request Package for Follow-Up 5

Att #	Documents (with tracked changes)	Edits
0	S upporting Statement Part A	Updated annual burden hours, annualized cost burden estimate, annualized cost to the federal government Updated project time schedule
0	S upporting Statement Part B	Updated sample size numbers and total number of waves
02	Survey Instrument Specs_FU5	Updated survey logic throughout survey for new wave of data collection. Added product name “JUUL” to the example list of electronic nicotine products. Updated list of celebrities in survey question. Updated examples of an LGBT nightlife magazines. Updated location of an attention check item. Updated video content and related questions for new wave of data collection.
02a	R ationale for Item Changes to Follow-up Instrument FU5	NA
02b	V ideo Storyboards FU5	New document
03	N ew Participant Screener_FU5	Alphabetized cities Changed “please state” to “please specify” in Other response options Updated programmer logic
11	E mailToRespondents_FU5	Updated wording and email address of incentive email Updated examples of incentives
13	L ongitudinal Screener_FU5	Updated programming logic

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